Organization Name: | CORAZON INC. |
NPI Number: | 1508160946 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERESA MENCHACA (PRESIDENT/CEO) |
Mailing Address: | 1891 N Mastick Way Ste A Nogales |
State: | AZ US |
Postal Code: | 856211027 |
Phone Number: | 5203755300 |
Fax Number: | 5202812019 |
NPI Enumeration Date: | 12/28/2010 |
NPI Last Update Date: | 12/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | BH3746 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |