Organization · Type 2 NPI

Evernorth Direct Health LLC

Clinic/Center · Muskogee, OK

NPI number 1740970631 Active

Practice location

3801 Dal Tile Rd
Muskogee, OK 74401-8204

Call (918) 682-2672 Map

Fax (918) 682-2673

Mailing address

8888 E Raintree Dr
Scottsdale, AZ 85260-3951

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 Muskogee

See all in Muskogee →

NPI record

NPI: 1740970631
Entity type: Organization (Type 2)
Issued: May 12, 2023
Last updated: May 12, 2023
Status: Active
Subpart: Yes of Evernorth Direct Health LLC

Other names

Mohawk HLC Muskogee · 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.

Is this your record? How to update it.

About NPI 1740970631

Evernorth Direct Health LLC's National Provider Identifier is 1740970631, issued on May 12, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Muskogee, OK. The record was last updated on May 12, 2023.