# 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:** 1558014100
- **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:** 600 HIGHWAY 32, WATER VALLEY, MS 38965-6431
- **Practice address phone:** (662) 473-5728
- **Practice address fax:** (662) 473-5755
- **Mailing address:** 25600 N NORTERRA DR, PHOENIX, AZ 85085-8201
- **Mailing address phone:** (480) 589-6285

## Taxonomy

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

## Other

- **Enumeration date:** 02/02/2022
- **Last updated:** 02/02/2022