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Organization
CAREMORE HEALTH PLAN OF ARIZONA INC
Active
Organization
CAREMORE HEALTH PLAN OF ARIZONA INC
Active
Other names
CareMore Irvington
Organization subpart
No
Provider details
NPI number
Authorized official
OFELIA KIEDPOOL (PRACTITIONER MANAGEMENT)
(562) 977-4639
Entity
Organization
Contact information
Practice address
315 W IRVINGTON RD, STE.101, TUCSON, AZ 85714-3151
(520) 294-1740
Mailing address
2930 E CAMELBACK ROAD, STE 100, PHOENIX, AZ 85016
(602) 341-6904
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
29936
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155518
PK
—
Enumeration date
11/12/2015
Last updated
08/07/2017
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