Aetna Health of Utah Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

AETNA HEALTH OF UTAH INC.

Practice address

10150 S Centennial Pkwy
Sandy, UT 84070-4103

Phone

(602) 659-1100

NPI assigned

Apr 26, 2021

Last updated

Apr 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Colleen Alexander

Title

Sr Project Manager

Phone

(602) 228-5051

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1972185288",
    "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",
            "telephone_number": "602-659-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 S CENTENNIAL PKWY",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704103",
            "telephone_number": "602-659-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AETNA HEALTH OF UTAH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "SR PROJECT MANAGER",
        "authorized_official_telephone_number": "602-228-5051",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Sandy, UT
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• Health Maintenance Organization in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.