NPIMap

Organization Active NPI

Connecticut General Life Insurance Company (Cglic)

  • Clinic/Center
  • Scranton, PA
National Provider Identifier
1497904148
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CONNECTICUT GENERAL LIFE INSURANCE COMPANY (CGLIC)
Practice address
53 Glenmaura National Blvd
Scranton, PA 18507-2132
Phone
(570) 496-5101
NPI assigned
Sep 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Authorized official

Name
Michael Slice, RPH
Title
Vice President
Phone
(602) 371-2971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X PA Primary

Addresses

Primary practice location

53 Glenmaura National Blvd
Scranton, PA 18507-2132

Mailing address

11001 N Black Canyon Hwy
Phoenix, AZ 85029-4757
Phone (877) 733-1710

Other names 1

  • CIGNA Medical Services, LLC ; CIGNA Onsite Health, LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Cigna Onsite Health LLC38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

Locations

11001 N Black Canyon Hwy
Phoenix, AZ 85029
Phone (602) 942-4462

53 Glenmaura National Blvd
Scranton, PA 18507
Phone (570) 496-5101

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1497904148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 N BLACK CANYON HWY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294757",
            "telephone_number": "877-733-1710",
            "fax_number": "602-328-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 GLENMAURA NATIONAL BLVD",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185072132",
            "telephone_number": "570-496-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT GENERAL LIFE INSURANCE COMPANY (CGLIC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "SLICE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "602-371-2971",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CIGNA Medical Services, LLC ; CIGNA Onsite Health, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.