Organization
AVESIS THIRD PARTY ADMINISTRATORS, LLC
Active
Organization
AVESIS THIRD PARTY ADMINISTRATORS, LLC
Active
Parent organization
AVESIS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVESIS, LLC
Authorized official
JENNIFER L MOORE (REGULATORY LICENSE MANAGER)
(207) 356-4244
Entity
Organization
Contact information
Practice address
1275 W WASHINGTON ST STE 102, TEMPE, AZ 85288-1859
(800) 643-1132
Mailing address
1275 W WASHINGTON ST STE 102, TEMPE, AZ 85288-1859
(800) 502-0258
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
07/21/2008
Last updated
10/04/2023
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