NPI 1104068691

Magellan Health Services of Arizona, INC

Organisation Case Management Agency Phoenix, AZ

Practice location

Address: 3227 E Bell Rd Suite 170, Phoenix, AZ 85032-2700
Phone: (602) 273-2300
Mailing address: 4129 E van Buren St Suite 250, Phoenix, AZ 85008-6939

Authorised official

Name: Richard T. Clarke
Title: Chief Executive Officer
Phone: (602) 797-8345

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence BH3310 (AZ)

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Registry record

NPI: 1104068691
Entity type: Organization
NPI issued: 30 Mar 2009
Record last updated: 30 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.