Active NPI
Magellan Health Services of Arizona, Inc
- Case Management Agency
- Phoenix, AZ
National Provider Identifier
1104068691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- BH3310
- Legal business name
- MAGELLAN HEALTH SERVICES OF ARIZONA, INC
- Practice address
- 3227 E Bell Rd
Suite 170
Phoenix, AZ 85032-2700 - Phone
- (602) 273-2300
- NPI assigned
- Mar 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard T. Clarke
- Title
- Chief Executive Officer
- Phone
- (602) 797-8345
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | BH3310 | AZ | Primary |
Addresses
Primary practice location
3227 E Bell Rd
Suite 170
Phoenix, AZ 85032-2700
Mailing address
4129 E Van Buren St
Suite 250
Phoenix, AZ 85008-6939
Phone (602) 273-2300
Other names 1
- Maricopa Clinic Saquaro
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238371200000",
"number": "1104068691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4129 E VAN BUREN ST",
"address_2": "SUITE 250",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086939",
"telephone_number": "602-273-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3227 E BELL RD",
"address_2": "SUITE 170",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322700",
"telephone_number": "602-273-2300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGELLAN HEALTH SERVICES OF ARIZONA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-30",
"last_updated": "2009-03-30",
"status": "A",
"authorized_official_last_name": "CLARKE",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "602-797-8345",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "AZ",
"license": "BH3310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Maricopa Clinic Saquaro",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
- Simona Magda
- Brian J Magee, DO
- Darielle Antoinette Magee
- Nancy Magee, R.D.
- Magellan Health Services
- Magellan Health Services of Arizona, Inc.
- Magellan Health Services of Arizona, Inc.
- Magellan Health Services of Arizona, Inc.
- Magellan Health Services of Arizona, Inc.
- Magellan Health Services of Arizona, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.