Amvi Care Health Network, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

AMVI CARE HEALTH NETWORK, INC.

Practice address

600 City Pkwy W Ste 800
Orange, CA 92868-2948

Phone

(800) 708-3230

NPI assigned

Jan 22, 2020

Last updated

Jan 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Beth Formby

Title

SVP

Phone

(800) 708-3230

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1114557857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CITY PKWY W STE 800",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682948",
            "telephone_number": "800-708-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CITY PKWY W STE 800",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682948",
            "telephone_number": "800-708-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMVI CARE HEALTH NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "FORMBY",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "800-708-3230"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Orange, CA
• Providers in Orange, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.