Maricopa Clinic Garden Lakes

LBN: Magellan Health Services Of Arizona, Inc.
Maricopa Clinic Garden Lakes is an health care organization with primary practice located at 4160 N 108Th Ave , Phoenix AZ 85037-5468. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Magellan Health Services Of Arizona, Inc. can be contacted via phone (623) 932-6950, or through Carson, Chris Adair via phone (602) 797-8333.

Contact Information

Primary practice address
4160 N 108Th Ave Phoenix AZ 85037-5468
Phone: (623) 932-6950
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
Agencies / Case Management 251B00000X BH2960 Arizona

Profile Details

NPI number 1629192992
LBN Legal business name Magellan Health Services Of Arizona, Inc.
DBA Doing business as Maricopa Clinic Garden Lakes
Authorized official Carson, Chris Adair Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2007
Last updated Oct 15th, 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 1629192992 NPPES
Arizona MEDICAID 145673

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