Provider Demographics
NPI:1942171988
Name:CHP CARE, PC
Entity type:Organization
Organization Name:CHP CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CORDTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-802-8388
Mailing Address - Street 1:3050 W AGUA FRIA FWY STE 150
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-3998
Mailing Address - Country:US
Mailing Address - Phone:602-802-8388
Mailing Address - Fax:623-234-4774
Practice Address - Street 1:3050 W AGUA FRIA FWY STE 150
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-3998
Practice Address - Country:US
Practice Address - Phone:602-802-8388
Practice Address - Fax:623-234-4774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty