Maricopa - Upc

LBN: Magellan Health Services Of Arizona, Inc.
Maricopa - Upc is an health care organization with primary practice located at 903 N 2Nd St , Phoenix AZ 85004-1906. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Magellan Health Services Of Arizona, Inc. can be contacted via phone (602) 416-7600, or through Carson, Chris Adair via phone (602) 797-8333.

Contact Information

Primary practice address
903 N 2Nd St Phoenix AZ 85004-1906
Phone: (602) 416-7600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carson, Chris Adair Doctor of Medicine (MD)
Phone: (602) 797-8333

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X BH2691 Arizona

Profile Details

NPI number 1124145842
LBN Legal business name Magellan Health Services Of Arizona, Inc.
DBA Doing business as Maricopa - Upc
Authorized official Carson, Chris Adair Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Sep 20th, 2007 - about 17 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 1124145842 NPPES
Arizona MEDICAID 127960

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