Organization · Type 2 NPI

Evernorth Direct Health LLC

Clinic/Center · Dalton, GA

NPI number 1639880792 Active

Practice location

508 E Morris St
Dalton, GA 30721-3403

Call (706) 272-1645 Map

Fax (706) 272-1648

Mailing address

25600 N Norterra Dr
Phoenix, AZ 85085-8201

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).

5 other providers at this address

Other clinic/center providers in Dalton

See all in Dalton →

NPI record

NPI: 1639880792
Entity type: Organization (Type 2)
Issued: Dec 9, 2022
Last updated: Dec 9, 2022
Status: Active
Subpart: Yes of Evernorth Direct Health LLC

Other names

Mohawk HLC Green Street · other name

Authorized official

Deborah Sue Coolidge
Financial Analysis Senior Manager
(623) 277-1170

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639880792

Evernorth Direct Health LLC's National Provider Identifier is 1639880792, issued on Dec 9, 2022. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Dalton, GA. The record was last updated on Dec 9, 2022.