Magellan Health Services of Arizona, Inc.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

BH2691 Issued in AZ

Legal business name

MAGELLAN HEALTH SERVICES OF ARIZONA, INC.

Practice address

903 N 2ND St
Phoenix, AZ 85004-1906

Phone

(602) 416-7600

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chris Adair Carson, M.D.

Title

Ceo

Phone

(602) 797-8333

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maricopa - UPC Other name

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1124145842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 E VAN BUREN ST",
            "address_2": "SUITE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086939",
            "telephone_number": "800-654-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 N 2ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041906",
            "telephone_number": "602-416-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGELLAN HEALTH SERVICES OF ARIZONA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "ADAIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-797-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "BH2691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127960",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maricopa - UPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• 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.
• Magellan Health Services of Arizona, Inc.

• Urgent Care Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Urgent Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.