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Organization

EVERNORTH DIRECT HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBORAH SUE COOLIDGE (FINANCIAL ANALYSIS SENIOR MANAGER)
(623) 277-1170
Entity
Organization

Contact information

Practice address
1301 N DAVIS AVE, OTTAWA, KS 66067-9778
(623) 277-1190
Mailing address
1301 N DAVIS AVE, OTTAWA, KS 66067-9778

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
06/10/2021
Last updated
06/10/2021
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