EVERNORTH CARE GROUP SOUTH MOUNTAIN HEALTH CENTER
NPI 1508937236
Clinic/Center in Phoenix, AZ

NPI Status: Active since November 13, 2006

Contact Information

7236 S CENTRAL AVE
PHOENIX, AZ
ZIP 85042
Phone: (602) 276-5565

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  • Organization
  • Clinic/Center

About EVERNORTH CARE GROUP SOUTH MOUNTAIN HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Evernorth Care Group South Mountain Health Center, a provider established in Phoenix, Arizona operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1508937236 assigned on November 2006. The practitioner's primary taxonomy code is 261Q00000X with license number OTC 0648 (AZ). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Evernorth Care Group South Mountain Health Center. The authorized official of this NPI record is Kevin Ellis D.o. (Chief Medical Director)

NPI
1508937236
Provider Legal Name
CIGNA HEALTH CARE OF ARIZONA INC.
Other Organization Name
EVERNORTH CARE GROUP SOUTH MOUNTAIN HEALTH CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7236 S CENTRAL AVE PHOENIX, AZ 85042
Location Phone
(602) 276-5565
Mailing Address
8888 E RAINTREE DR FL 3 SCOTTSDALE, AZ 85260
Mailing Phone
(602) 328-8400
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-13-2006
Last Update Date
06-16-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
OTC 0648
License State
AZ
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEVIN ELLIS D.O.

Authorized Official Title
CHIEF MEDICAL DIRECTOR
Authorized Official Phone
(623) 277-2246

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
061812MEDICAID (05)AZ 

Reviews for EVERNORTH CARE GROUP SOUTH MOUNTAIN HEALTH CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1508937236
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25081831426
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 1 + 8 + 3 + 1 + 4 + 2 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1508937236 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083694004 SUSAN M HALLMAN MD
Individual
Internal Medicine7236 S CENTRAL AVE
PHOENIX, AZ 85042
(602) 276-5565
1295705788 DOUGLAS S RAY MD
Individual
Family Medicine7236 S CENTRAL AVE
PHOENIX, AZ 85042
(602) 276-5565
1306838354CIGNA HEALTH CARE OF ARIZONA INC
Organization
Pharmacy7236 S CENTRAL AVE
PHOENIX, AZ 85042
(602) 243-7266
1669908711 SPENCER RUBEN DO
Individual
Family Medicine7236 S CENTRAL AVE
PHOENIX, AZ 85042
(602) 276-5565
1851170062 SUSAN MATHIAS PHARMACIST
Individual
Pharmacist7236 S CENTRAL AVE
PHOENIX, AZ 85042
(602) 243-7266

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508937236, enumerated in the NPI registry as an "organization" on November 13, 2006

The provider is located at 7236 S Central Ave Phoenix, Az 85042 and the phone number is (602) 276-5565

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.