CIGNA HEALTHCARE OF ARIZONA INC. NPI 1073627162

NPI Information

NPI: 1073627162
Provider Name: CIGNA HEALTHCARE OF ARIZONA, INC.

Doing Business As: GILBERT OUT PATIENT SURGERY

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
4001 E BASELINE RD
SUITE 102
GILBERT, AZ
ZIP 85234
Phone: (480) 632-4060
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CIGNA HEALTHCARE OF ARIZONA, INC. is an ambulatory surgical clinic center in Gilbert, AZ. CIGNA HEALTHCARE OF ARIZONA, INC. NPI is 1073627162. The provider is registered as an organization entity type.
The provider Is Doing Business As Gilbert Out Patient Surgery.

The provider's business location address is:

4001 E BASELINE RD
SUITE 102
GILBERT, AZ
ZIP 85234-726
Phone: (480) 632-4060
Fax: (480) 632-4092

The provider's authorized official is Kevin Ellis .
The authorized official title is Chief Medical Director and has the following contact phone number (623) 277-2246.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 1/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	OSC 3662	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Z103003	MEDICARE PIN	ARIZONA
2	Z72599	MEDICARE PIN	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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