Evernorth Care Group Chandler Health Center

LBN: Cigna Health Care Of Arizona Inc.
Evernorth Care Group Chandler Health Center is an health care organization with primary practice located at 1717 W Chandler Blvd , Chandler AZ 85224-6145. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Cigna Health Care Of Arizona Inc. can be contacted via phone (480) 821-7565, or through Ellis, Kevin via phone (602) 328-8400.

Contact Information

Primary practice address
1717 W Chandler Blvd Chandler AZ 85224-6145
Phone: (480) 821-7565
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Kevin Doctor of Osteopathy (DO)
Phone: (602) 328-8400

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X OTC 0626 Arizona

Profile Details

NPI number 1467531681
LBN Legal business name Cigna Health Care Of Arizona Inc.
DBA Doing business as Evernorth Care Group Chandler Health Center
Authorized official Ellis, Kevin Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2006
Last updated Jun 16th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467531681 NPPES
Arizona MEDICAID 061804

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