# CIGNA HEALTH CARE OF ARIZONA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EVERNORTH Care Outpatient Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265544191
- **Authorized official:** KEVIN ELLIS D.O. (CHIEF MEDIAL DIRECTOR)
- **Authorized official phone:** (623) 277-2246

## Contact information

- **Practice address:** 3003 N 3RD ST, PHOENIX, AZ 85012-3031
- **Practice address phone:** (602) 282-9800
- **Mailing address:** 8888 E RAINTREE DR FL 3, SCOTTSDALE, AZ 85260-3951
- **Mailing address phone:** (602) 328-8400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | OSC 0012 | AZ | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 06/16/2023