Organization · Type 2 NPI
Evernorth Direct Health LLC
Clinic/Center · Johnston, RI
NPI number
1013401124
Active
Practice location
735 Greenville Ave, Bldg D
Johnston, RI 02919
Mailing address
25500 N Norterra Dr
Phoenix, AZ 85085-8200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Other clinic/center providers in Johnston
About NPI 1013401124
Evernorth Direct Health LLC's National Provider Identifier is 1013401124, issued on Jun 21, 2018. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Johnston, RI. The record was last updated on May 14, 2021.