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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