# EVERNORTH DIRECT HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EVERNORTH DIRECT HEALTH LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164007423
- **Legal business name:** EVERNORTH DIRECT HEALTH LLC
- **Authorized official:** DEBORAH SUE COOLIDGE (FINANCIAL ANALYSIS SENIOR MANAGER)
- **Authorized official phone:** (623) 277-1170

## Contact information

- **Practice address:** 15545 WELLS HWY, SENECA, SC 29678-1664
- **Practice address phone:** (864) 985-5009
- **Practice address fax:** (864) 985-5008
- **Mailing address:** 15545 WELLS HWY, SENECA, SC 29678-1664
- **Mailing address phone:** (864) 985-5009
- **Mailing address fax:** (864) 985-5008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/17/2021
- **Last updated:** 05/03/2021