Organization
EVERNORTH DIRECT HEALTH LLC
Active
Other names
American Outdoor Brand
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
262 COTTAGE ST, SPRINGFIELD, MA 01104-3274
(623) 277-1190
Mailing address
262 COTTAGE ST, SPRINGFIELD, MA 01104-3274
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
05/03/2021
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