Evernorth Care Group Stapley Multi-Specialty Center

LBN: Cigna Health Care Of Arizona Inc
Evernorth Care Group Stapley Multi-Specialty Center is an health care organization with primary practice located at 1840 S Stapley Dr Suite 101, Mesa AZ 85204-5015. 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) 464-8500, or through Ellis, Kevin via phone (623) 277-2246.

Contact Information

Primary practice address
1840 S Stapley Dr Suite 101 Mesa AZ 85204-5015
Phone: (480) 464-8500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Kevin Doctor of Osteopathy (DO)
Phone: (623) 277-2246

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X OTC 4338 Arizona

Profile Details

NPI number 1528139953
LBN Legal business name Cigna Health Care Of Arizona Inc
DBA Doing business as Evernorth Care Group Stapley Multi-Specialty Center
Authorized official Ellis, Kevin Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2006
Last updated Jun 16th, 2023 - about 2 years ago

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 1528139953 NPPES
Arizona MEDICAID 061797

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