Organization · NPI-2

Evernorth Direct Health LLC

Clinic/Center · Muskogee, OK

NPI number1740970631
StatusActive
Last updated in NPPESMay 12, 2023

Details

NPI
1740970631
Entity type
Organization (NPI-2)
Legal business name
Evernorth Direct Health LLC
Organization subpart
Yes
Enumeration date
May 12, 2023
Certification date
May 12, 2023
Last updated
May 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Other names

  • Mohawk Hlc Muskogee (Other Name)

Practice location

3801 Dal Tile Rd
Muskogee, OK 74401-8204

Phone 918-682-2672 · Fax 918-682-2673

Mailing address

8888 E Raintree Dr
Scottsdale, AZ 85260-3951

Authorized official

Deborah Sue Coolidge
Financial Analysis Senior Manager
6232771170

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