MEDICARE: AMERICAN HEALTH GROUP

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1851425920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HEALTH GROUP

Provider Business Mailing Address
First Line	:	2152 S VINEYARD STE 103
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85210-6881
Country	:	US
Telephone Number	:	602-265-3800
Fax Number	:	480-894-8105

Provider Business Practice Location Address
First Line	:	2152 S VINEYARD STE 103
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85210-6881
Country	:	US
Telephone Number	:	602-265-3800
Fax Number	:	480-894-8105

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	MR. JEFF JENNINGS
Credential	:
Telephone Number	:	602-265-3800

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	08/22/2020

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