CONNECTICUT GENERAL LIFE INSURANCE COMPANY (NPI# 1669922324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669922324 |
Entity Type | Organization |
Organization Name | CONNECTICUT GENERAL LIFE INSURANCE COMPANY |
Other Organization Name | ALEGIS CARE NEW JERSEY PC |
Practice Address |
25500 N Norterra Dr Phoenix AZ 85085-8200 |
Practice Telephone | 8777331710 |
Practice Fax Number | 6232771091 |
Mailing Telephone | 8777331710 |
Mailing Fax Number | 6232771091 |
Enumeration Date | 2016-10-06 |
Last Update Date | 2016-12-06 |
Authorized Official Name | DIRK WALES (CEO) |
Authorized Official Telephone | 6232771170 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Alegis Care New Jersey PC | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932552676 | Connecticut General Life Insurance Company | Clinic/Center | 7 Volvo Dr, Rockleigh, NJ 07647-2507 | 2016-07-18 |
1376929216 | Connecticut General Life Insurance Company | Clinic/Center | 116 S Zack Hinton Pkwy, Mcdonough, GA 30253-3353 | 2015-08-03 |
1053707208 | Connecticut General Life Insurance Company | Clinic/Center | 8620 Spectrum Center Blvd, San Diego, CA 92123-1406 | 2015-04-14 |
1982020061 | Connecticut General Life Insurance Company | Clinic/Center | 1 Riverboat Dr, North Kansas City, MO 64116-3267 | 2014-03-12 |
1336564673 | Connecticut General Life Insurance Company | Clinic/Center | 1200 Og Skinner Dr, West Point, GA 31833-1771 | 2014-02-24 |
1851716195 | Connecticut General Life Insurance Company | Clinic/Center | 1503 Orchard Hill Rd, Lagrange, GA 30240-5709 | 2014-02-24 |
1760920060 | Connecticut General Life Insurance Company | Clinic/Center | 530 Great Circle Rd, Nashville, TN 37228-1309 | 2017-02-07 |
1396192290 | Connecticut General Life Insurance Company | Clinic/Center | 1000 Broadway St, Cincinnati, OH 45202-1364 | 2016-05-20 |
1255757332 | Connecticut General Life Insurance Company | Clinic/Center | 777 Casino Center Dr, Hammond, IN 46320-1003 | 2014-03-12 |
1619393790 | Connecticut General Life Insurance Company | Clinic/Center | 1000 Broadway St, Cincinnati, OH 45202-1364 | 2014-03-12 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | 900 Cottage Grove Road, Broomfield, CT 06002 |
Virginia Business Entities | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | 900 Cottage Grove Rd, Bloomfield, Connecticut 06002 |
Street Address |
25500 N NORTERRA DR |
City | PHOENIX |
State | AZ |
Zip Code | 85085-8200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699753525 | Ronald Cirullo | Internal Medicine | 25500 N Norterra Dr, Phoenix, AZ 85085 | 2005-12-30 |
1992259295 | Alegis Care Services LLC | General Practice | 25500 N Norterra Dr, Office #b-3b-200, Phoenix, AZ 85085-8200 | 2016-08-04 |
1972929248 | Hs Clinical Services PC | Clinic/Center | 25500 N Norterra Dr, Phoenix, AZ 85085-8200 | 2014-03-11 |
1063834323 | Connecticut General Life Insurance Company (cglic) | Clinic/Center | 25500 N Norterra Dr, Phoenix, AZ 85085-8200 | 2014-01-06 |
1578900031 | Kenett Curtis Kelly | Pharmacist | 25500 N Norterra Dr, Phoenix, AZ 85085-8200 | 2013-05-23 |
1295094290 | Connecticut General Life Insurance Company (cglic) | Clinic/Center | 25500 N Norterra Dr, Phoenix, AZ 85085-8200 | 2012-05-10 |
1295963338 | John Frederick Rausch Jr. | Internal Medicine | 25500 N Norterra Dr, Phoenix, AZ 85085-8200 | 2009-06-28 |
1952548315 | Cigna Healthcare of Arizona, Inc. | Clinic/Center | 25500 N Norterra Dr, Attn: Hcfs, Phoenix, AZ 85085-8200 | 2009-01-07 |
1578712329 | Connecticut General Life Insurance Company (cglic) | Clinic/Center | 25500 N Norterra Dr, Phoenix, AZ 85085-8200 | 2008-09-17 |
1023113271 | Cigna Medical Group | Clinic/Center | 25500 N Norterra Dr, Attn: Hcfs (support Center), Phoenix, AZ 85085-8200 | 2006-09-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235748369 | Nicole Fountain | Speech-Language Pathologist | 25700 N. 21st Avenue, Phoenix, AZ 85085 | 2020-07-24 |
1083138010 | Larry Leforte II | Emergency Medical Technician, Paramedic | 2018 W Blaylock Dr, Phoenix, AZ 85085 | 2017-08-01 |
1508318809 | Jennifer Falk | Chiropractor | 1614 W Whispering Wind Dr Ste 3, Phoenix, AZ 85085 | 2016-11-03 |
1053785964 | Cvs Pharmacy | Pharmacy | 28635 N North Vally Parkway, Phoenix, AZ 85085 | 2015-11-17 |
1417329897 | Kelly Criswell | Registered Nurse | 32150 N North Foothills Dr, Phoenix, AZ 85085 | 2015-10-26 |
1417333717 | Kristi Everett | Social Worker | 34225 N 27th Dr Bldg 5 Ste 146, Phoenix, AZ 85085 | 2015-08-10 |
1063849834 | Albertsons Pharmacy | Pharmacist | 2406 W Bramble Berry Ln, Phoenix, AZ 85085 | 2013-10-10 |
1427354851 | Carolyn Berg Newsome | Marriage & Family Therapist | 2060 W.whispering Wind Drive, Phoenix, AZ 85085 | 2011-02-02 |
1518273127 | Jamie Lynn Born | Social Worker | 34406 N 27th Dr Bldg 6, Phoenix, AZ 85085 | 2010-08-20 |
1023347218 | Lise Flores-reed | Psychologist | 34225 N. 27th Drive #110, Phoenix, AZ 85085 | 2009-12-17 |
Find all providers in zip 85085 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
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). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285242560 | Growing Space LLC | Clinic/Center | 3940 S 79th Dr, Phoenix, AZ 85043-1694 | 2020-07-22 |
1568087187 | Arizona Imaging Specialists, LLC | Clinic/Center | 727 E Bethany Home Rd Ste A106, Phoenix, AZ 85014-2192 | 2020-06-09 |
1932731130 | Arcadia Neuropsychology, Pllc | Clinic/Center | 2929 N 44th St Ste 330, Phoenix, AZ 85018-7241 | 2020-02-06 |
1164905733 | Heart Rhythm and Vascular LLC | Clinic/Center | 1848 E Thomas Rd Ste 200, Phoenix, AZ 85016-8104 | 2018-09-10 |
1184104291 | Chc Phoenix, LLC | Clinic/Center | 4747 E Elliot Rd Ste 32, Phoenix, AZ 85044-1630 | 2018-08-17 |
1659858322 | Urbane Medical LLC | Clinic/Center | 67 E Weldon Ave Ste 235, Phoenix, AZ 85012-2045 | 2018-07-25 |
1003304130 | Sheperd Care | Clinic/Center | 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037-2354 | 2018-04-24 |
1992218119 | Desert Faith Therapy Services, LLC | Clinic/Center | 10000 N 31st Ave Ste D311, Phoenix, AZ 85051-1701 | 2017-11-09 |
1700303203 | Restassured Rx | Clinic/Center | 2423 W Dunlap Ave Ste 175, Phoenix, AZ 85021-5823 | 2017-08-25 |
1255870267 | Smi Imaging, LLC | Clinic/Center | 4219 E Bell Rd, Phoenix, AZ 85032-3366 | 2017-02-23 |
Find all providers in PHOENIX |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.