Evernorth Care Group Chandler Health Center | |
1717 W Chandler Blvd Chandler AZ 85224-6145 | |
(480) 821-7565 | |
Not Available |
Full Name | Evernorth Care Group Chandler Health Center |
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Speciality | Clinic/center |
Location | 1717 W Chandler Blvd, Chandler, Arizona |
Authorized Official Name and Position | Kevin Ellis (CHEIF MEDICAL DIRECTOR) |
Authorized Official Contact | 6023288400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Evernorth Care Group Chandler Health Center 8888 E Raintree Dr Fl 3 Scottsdale AZ 85260-3951 Ph: (602) 328-8400 | Evernorth Care Group Chandler Health Center 1717 W Chandler Blvd Chandler AZ 85224-6145 Ph: (480) 821-7565 |
NPI Number | 1467531681 |
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Provider Enumeration Date | 11/06/2006 |
Last Update Date | 06/16/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467531681 | NPI | - | NPPES |
061804 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | OTC 0626 (Arizona) | Primary |
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