NPI | 1790950988 |
---|---|
Doing Business As | CIGNA MESA HEALTH CARE CENTER, RED MOUNTAIN MEDICAL OFFICE |
Doing Business As | EVERNORTH CARE GROUP RED MOUNTAIN HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | KEVIN ELLIS Cheif Medical Director 623-277-2246 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ OTC 4262) |
Enumeration Date | 2008-04-28 |
Last Update Date | 2023-06-16 |