MEDICARE: CONNECTIONSAZ, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283Q00000X	Psychiatric Hospital
2	261QM1300X	Multi-Specialty Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083840953
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONNECTIONSAZ, LLC

Provider Business Mailing Address
First Line	:	1205 S 7TH AVE STE 105
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85007-3913
Country	:	US
Telephone Number	:	602-253-5100
Fax Number	:	866-882-5456

Provider Business Practice Location Address
First Line	:	1201 S 7TH AVE STE 105
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85007-3913
Country	:	US
Telephone Number	:	602-253-5100
Fax Number	:	866-882-5456

Authorized Official
Title or Position	:	DIRECTOR, CREDENTIALING
Name	:	MRS. CHERYL BOYLE
Credential	:
Telephone Number	:	602-416-7647

Provider Enumeration Date	:	06/05/2009
Last Update Date	:	12/09/2025

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