Provider Demographics
NPI:1982919692
Name:AETNA BETTER HEALTH, INC.
Entity type:Organization
Organization Name:AETNA BETTER HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAWYER
Authorized Official - Prefix:
Authorized Official - First Name:A.J.
Authorized Official - Middle Name:
Authorized Official - Last Name:HERBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-207-7310
Mailing Address - Street 1:4645 E COTTON CENTER BLVD BLDG 1
Mailing Address - Street 2:ATTN: LEGAL DEPARTMENT
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85040-4824
Mailing Address - Country:US
Mailing Address - Phone:573-355-0815
Mailing Address - Fax:602-344-7037
Practice Address - Street 1:5615 CORPORATE BLVD STE 400B
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-2536
Practice Address - Country:US
Practice Address - Phone:573-355-0815
Practice Address - Fax:602-344-7037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization