Active NPI
Caremore Health Plan of Arizona Inc
- Health Maintenance Organization
- Tucson, AZ
National Provider Identifier
1992178982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- CAREMORE HEALTH PLAN OF ARIZONA INC
- Practice address
- 315 W Irvington Rd
Ste.101
Tucson, AZ 85714-3151 - Phone
- (520) 294-1740
- NPI assigned
- Nov 12, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ofelia Kiedpool
- Title
- Practitioner Management
- Phone
- (562) 977-4639
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary | ||
| Non-Pharmacy Dispensing Site | 332900000X | 29936 | AZ |
Addresses
Primary practice location
315 W Irvington Rd
Ste.101
Tucson, AZ 85714-3151
Mailing address
2930 E Camelback Road
Ste 100
Phoenix, AZ 85016
Phone (602) 341-6904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2155518 | Other | PK |
Other names 1
- CareMore Irvington
National Provider Directory
National Provider Directory- Tax ID family
- Caremore Health Plan
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Locations
2930 E Camelback Rd
Ste 100
Phoenix, AZ 85016
Phone (515) 419-5096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1502064000000",
"number": "1992178982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2930 E CAMELBACK ROAD",
"address_2": "STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85016",
"telephone_number": "602-341-6904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 W IRVINGTON RD",
"address_2": "STE.101",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857143151",
"telephone_number": "520-294-1740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAREMORE HEALTH PLAN OF ARIZONA INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-12",
"last_updated": "2017-08-07",
"status": "A",
"authorized_official_last_name": "KIEDPOOL",
"authorized_official_first_name": "OFELIA",
"authorized_official_title_or_position": "PRACTITIONER MANAGEMENT",
"authorized_official_telephone_number": "562-977-4639"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
},
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "AZ",
"license": "29936",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2155518",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CareMore Irvington",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.