Organization
HEALTH EXCHANGE OF ARIZONA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD I. BLOOM (PRESIDENT/C.E.O.)
(602) 265-9606
Entity
Organization
Contact information
Practice address
1130 E MISSOURI AVE, SUITE 404, PHOENIX, AZ 85014-2718
(602) 265-9606
(602) 265-9605
Mailing address
1130 E MISSOURI AVE, SUITE 404, PHOENIX, AZ 85014-2718
(602) 265-9606
(602) 265-9605
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145187
—
AZ
Enumeration date
08/16/2005
Last updated
08/22/2020
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