Provider Demographics
NPI:1679020028
Name:AETNA HEALTH INC.
Entity Type:Organization
Organization Name:AETNA HEALTH INC.
Other - Org Name:AETNA BETTER HEALTH OF MARYLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, PRINCIPAL OFF. -PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BRUBAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-659-1160
Mailing Address - Street 1:4500 E COTTON CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85040-8840
Mailing Address - Country:US
Mailing Address - Phone:602-659-1100
Mailing Address - Fax:
Practice Address - Street 1:1425 UNION MEETING RD
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-1919
Practice Address - Country:US
Practice Address - Phone:888-702-3862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AETNA INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization