| Evernorth Care Group Cj Harris Multi-specialty Center | |
|
1920 E Baseline Rd Tempe AZ 85283-1511 | |
| (480) 345-5000 | |
| Not Available |
| Full Name | Evernorth Care Group Cj Harris Multi-specialty Center |
|---|---|
| Speciality | Clinic/center |
| Location | 1920 E Baseline Rd, Tempe, Arizona |
| Authorized Official Name and Position | Kevin Ellis (CHIEF MEDICAL DIRECTOR) |
| Authorized Official Contact | 6232772246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evernorth Care Group Cj Harris Multi-specialty Center 8888 E Raintree Dr Fl 3 Scottsdale AZ 85260-3951 Ph: (602) 328-8400 | Evernorth Care Group Cj Harris Multi-specialty Center 1920 E Baseline Rd Tempe AZ 85283-1511 Ph: (480) 345-5000 |
| NPI Number | 1649341298 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 06/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649341298 | NPI | - | NPPES |
| 061854 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OTC 0636 (Arizona) | Primary |
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