Evernorth Direct Health LLC
Clinic/Center in Calhoun, GA. Organization (NPI-2).
NPI number1942911763
StatusActive
Last updated in NPPESDec 13, 2022
Details
- NPI
- 1942911763
- Entity type
- Organization (NPI-2)
- Legal business name
- Evernorth Direct Health LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 13, 2022
- Certification date
- Dec 9, 2022
- Last updated
- Dec 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Mohawk Hlc Calhoun (Other Name)
Practice location
196 S Industrial BlvdCalhoun, GA 30701-3030
Phone 706-422-2550 · Fax 706-422-2560
Mailing address
25600 N Norterra DrPhoenix, AZ 85085-8201
Authorized official
Deborah Sue Coolidge
Financial Analysis Senior Manager
6232771170
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