# JOHN C LINCOLN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pinnacle Anthem
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073609848
- **Authorized official:** NATHAN ANSPACH (SR. VP)
- **Authorized official phone:** (623) 434-6200

## Contact information

- **Practice address:** 3648 W ANTHEM WAY, SUITE A100, ANTHEM, AZ 85086
- **Practice address phone:** (602) 485-7482
- **Practice address fax:** (623) 434-6448
- **Mailing address:** 2500 W UTOPIA RD, SUITE 100, PHOENIX, AZ 85027-4171
- **Mailing address phone:** (623) 434-6200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OTC 3490 | AZ | Yes |
| 261QR0200X | Radiology Clinic/Center | OTC3148 | AZ | — |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 07/24/2017