NPI 1013106939

Evernorth Direct Health LLC

Organisation Health Maintenance Organization Atlantic City, NJ

Practice location

Address: 801 Boardwalk, Atlantic City, NJ 08401-7509
Phone: (609) 343-4188
Fax: (609) 343-4214

Authorised official

Name: Sarju Patel
Title: Pharmacy Area Manager
Phone: (623) 277-1168

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence RS00674900 (NJ)

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Registry record

NPI: 1013106939
Entity type: Organization
NPI issued: 16 Oct 2007
Record last updated: 3 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.