Organization
MAGELLAN HEALTH SERVICES OF ARIZONA, INC.
Active
Parent organization
MAGELLAN HEALTH SERVICES OF ARIZONA INC
Other names
Maricopa Clinic West McDowell
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAGELLAN HEALTH SERVICES OF ARIZONA INC
Authorized official
DR. CHRIS ADAIR CARSON MD (CHIEF EXECUTIVE OFFICER)
(602) 797-8333
Entity
Organization
Contact information
Practice address
5030 W MCDOWELL RD, #16, PHOENIX, AZ 85035-3945
(602) 278-1414
Mailing address
4129 EAST VAN BUREN STREET, SUITE 150, PHOENIX, AZ 85008
(800) 564-5465
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
BH1024
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
532128
—
AZ
Enumeration date
03/19/2007
Last updated
10/15/2007
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