NPIMap

Organization Active NPI

Connecticut General Life Insurance Company (Cglic)

  • Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1053566588
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CONNECTICUT GENERAL LIFE INSURANCE COMPANY (CGLIC)
Practice address
1601 Chestnut St
Tl04B
Philadelphia, PA 19192-0003
Phone
(215) 761-3939
NPI assigned
Nov 25, 2008
Last updated
Aug 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Slice, RPH
Title
Vice President
Phone
(602) 371-2971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X PA Primary

Addresses

Primary practice location

1601 Chestnut St
Tl04B
Philadelphia, PA 19192-0003

Mailing address

11001 N Black Canyon Hwy
Phoenix, AZ 85029-4757
Phone (877) 733-1710

Other names 1

  • CIGNA Medical Services, LLC ; CIGNA Onsite Health, LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Cigna Onsite Health LLC38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

Locations

1601 Chestnut St
#4B
Philadelphia, PA 19192
Phone (215) 761-3939

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1053566588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 N BLACK CANYON HWY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294757",
            "telephone_number": "877-733-1710",
            "fax_number": "602-328-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CHESTNUT ST",
            "address_2": "TL04B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191920003",
            "telephone_number": "215-761-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT GENERAL LIFE INSURANCE COMPANY (CGLIC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "SLICE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "602-371-2971",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CIGNA Medical Services, LLC ; CIGNA Onsite Health, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.