Organization · Type 2 NPI

Evernorth Direct Health LLC

Clinic/Center · Clarksville, TN

NPI number 1801772991 Active

Practice location

2950 International Blvd
Clarksville, TN 37040-6432

Call (623) 277-1190 Map

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 Clarksville

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NPI record

NPI: 1801772991
Entity type: Organization (Type 2)
Issued: Aug 13, 2025
Last updated: Aug 13, 2025
Status: Active
Subpart: Yes of Evernorth Direct Health LLC

Other names

Hankook Tire Clinic Family Practice · 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 1801772991

Evernorth Direct Health LLC's National Provider Identifier is 1801772991, issued on Aug 13, 2025. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Clarksville, TN. The record was last updated on Aug 13, 2025.