Aetna Better Health of Nevada Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

NV20161477081 Issued in NV

Legal business name

AETNA BETTER HEALTH OF NEVADA INC.

Practice address

4500 E Cotton Center Blvd
Phoenix, AZ 85040-8840

Phone

(602) 659-1160

NPI assigned

Feb 14, 2017

Organization subpart

Yes

Parent organization

AETNA HEALTH HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Laurie Brubaker

Title

Sr. VP, Medicaid

Phone

(602) 659-1160

Specialties & licenses 1

Addresses

Other names 1

• Aetna Better Health of Nevada Doing business as

Tax ID family

Aetna Better Health of Nevada2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Aetna Better Health of Nevada Inc.

  • Health Maintenance Organization
  • Phoenix, AZ
  • NPI 1205374485
  NPD tax ID

Locations

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1891234530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 E COTTON CENTER BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850408840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E COTTON CENTER BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850408840",
            "telephone_number": "602-659-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AETNA BETTER HEALTH OF NEVADA INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AETNA HEALTH HOLDINGS, LLC",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "BRUBAKER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "SR. VP, MEDICAID",
        "authorized_official_telephone_number": "602-659-1160",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NV",
            "license": "NV20161477081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aetna Better Health of Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Maintenance Organization in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Health Maintenance Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.