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NPI 1245549617 · Health Maintenance Organization · Green Valley, AZ
Provider details
- NPI number
- 1245549617
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Connie Halkowitz, Manager(520) 393-0300
- License
- 1112980 (AZ)
Specialties & taxonomies
Managed Care Organizations
Practice location
360 W Vista Hermosa Dr
360 W. Vista Hermosa
Green Valley, AZ 85614-1903
Phone: (520) 393-0300
Fax: (520) 393-1100
Approximate (ZIP-level) locationGet directions
Mailing address
360 W Vista Hermosa Dr
Green Valley, AZ 85614-1903
Registry dates
- Enumerated
- 2010-10-01
- Last updated
- 2010-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.