Organization
EVERNORTH DIRECT HEALTH LLC
Active
Parent organization
EVERNORTH DIRECT HEALTH LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERNORTH DIRECT HEALTH LLC
Authorized official
DEBORAH SUE COOLIDGE (FINANCIAL ANALYSIS SENIOR MANAGER)
(623) 277-1170
Entity
Organization
Contact information
Practice address
1811 E NORTHROP BLVD, CHANDLER, AZ 85286-1874
(623) 277-3968
(623) 277-1044
Mailing address
25600 N NORTERRA DR, PHOENIX, AZ 85085-8201
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
05/03/2021
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