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NPI Code Detail

MEDICARE: CIGNA HEALTH CARE OF ARIZONA INC.

MEDICARE: CIGNA HEALTH CARE OF ARIZONA INC.
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
1261Q00000XClinic/CenterOTC 0648AZ

Other Identifiers

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

General Provider Information

NPI Number : 1508937236
Entity Type Code : Organization
Provider Name (Legal Business Name) : CIGNA HEALTH CARE OF ARIZONA INC.
Provider Business Mailing Address
First Line : 8888 E RAINTREE DR FL 3
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85260-3951
Country : US
Telephone Number : 602-328-8400
Fax Number :
Provider Business Practice Location Address
First Line : 7236 S CENTRAL AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85042-5425
Country : US
Telephone Number : 602-276-5565
Fax Number :
Authorized Official
Title or Position : CHIEF MEDICAL DIRECTOR
Name : KEVIN ELLIS
Credential : D.O.
Telephone Number : 623-277-2246
Provider Enumeration Date : 11/13/2006
Last Update Date : 06/16/2023

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Directions to “CIGNA HEALTH CARE OF ARIZONA INC. ” Practice Location

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