# CIGNA HEALTHCARE OF ARIZONA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gilbert Out Patient Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073627162
- **Authorized official:** KEVIN ELLIS D.O (CHIEF MEDICAL DIRECTOR)
- **Authorized official phone:** (623) 277-2246

## Contact information

- **Practice address:** 4001 E BASELINE RD, SUITE 102, GILBERT, AZ 85234-2726
- **Practice address phone:** (480) 632-4060
- **Practice address fax:** (480) 632-4092
- **Mailing address:** 25500 N NORTERRA DR, ATTN: HCFS, PHOENIX, AZ 85085-8200
- **Mailing address phone:** (602) 328-8400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | OSC 3662 | AZ | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 01/28/2014