Organization Active NPI

CHC Phoenix, LLC

Doing business as Connected Health Centers

  • Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1184104291
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHC PHOENIX, LLC
Doing business as
Connected Health Centers
Practice address
4747 E Elliot Rd Ste 32
Phoenix, AZ 85044-1630
Phone
(480) 893-8700
Fax
(602) 679-8438
NPI assigned
Aug 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Authorized official

Name
Jeff Alexander
Title
Manager
Phone
(719) 964-3284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4747 E Elliot Rd Ste 32
Phoenix, AZ 85044-1630

Mailing address

4747 E Elliot Rd Ste 32
Phoenix, AZ 85044-1630
Phone (480) 893-8700

Other names 1

  • Connected Health Centers Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1184104291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 E ELLIOT RD STE 32",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441630",
            "telephone_number": "480-893-8700",
            "fax_number": "602-679-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 E ELLIOT RD STE 32",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441630",
            "telephone_number": "480-893-8700",
            "fax_number": "602-679-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHC PHOENIX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "719-964-3284"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connected Health Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.