NPI 1013401124

Evernorth Direct Health LLC

Organisation Clinic/Center Johnston, RI

Practice location

Address: 735 Greenville Ave Bldg D, Johnston, RI 02919
Phone: (623) 277-1170
Mailing address: 25500 N Norterra Dr, Phoenix, AZ 85085-8200

Authorised official

Name: Deborah Sue Coolidge
Title: Financial Analysis Manager
Phone: (623) 277-1170

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Rhode Island →

Registry record

NPI: 1013401124
Entity type: Organization
NPI issued: 21 Jun 2018
Record last updated: 14 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.