NPIMap

Organization Active NPI

Cigna Health Care of Arizona Inc.

Doing business as CMG Clyde Wright Urgent Care, CMG Clyde Wright AHC, Phoenix Central UC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1245338235
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
OTC 0627 Issued in AZ
Legal business name
CIGNA HEALTH CARE OF ARIZONA INC.
Doing business as
CMG Clyde Wright Urgent Care, CMG Clyde Wright AHC, Phoenix Central UC
EVERNORTH Care Group Phoenix Central Urgent Care
Practice address
3003 N Central Ave
Attn: Urgent Care Dept
Phoenix, AZ 85012-2902
Phone
(602) 282-9800
NPI assigned
Sep 21, 2006
Last updated
Jun 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Kevin Ellis, D.O
Title
Cheif Medical Director
Phone
(623) 277-2246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X OTC 0627 AZ Primary

Addresses

Primary practice location

3003 N Central Ave
Attn: Urgent Care Dept
Phoenix, AZ 85012-2902

Mailing address

8888 E Raintree Dr FL 3
Scottsdale, AZ 85260-3951
Phone (602) 328-8400

Other identifiers 1

IdentifierTypeStateIssuer
061862MedicaidAZ

Other names 2

  • CMG Clyde Wright Urgent Care, CMG Clyde Wright AHC, Phoenix Central UC Doing business as
  • EVERNORTH Care Group Phoenix Central Urgent Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 118

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.

View all 118

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1245338235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8888 E RAINTREE DR FL 3",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603951",
            "telephone_number": "602-328-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE",
            "address_2": "ATTN: URGENT CARE DEPT",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122902",
            "telephone_number": "602-282-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIGNA HEALTH CARE OF ARIZONA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CHEIF MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "623-277-2246",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "OTC 0627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061862",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMG Clyde Wright Urgent Care, CMG Clyde Wright AHC, Phoenix Central UC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CMG Clyde Wright Urgent Care, CMG Clyde Wright AHC, Phoenix Central UC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EVERNORTH Care Group Phoenix Central Urgent Care",
            "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 Jun 16, 2023; 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.