Evernorth Direct Health LLC

NPI #1013401124 in Johnston, Rhode Island

Provider Information

NPI Number: 1013401124
Entity Type: Organization
Organization Name: Evernorth Direct Health LLC
Primary Specialty: Clinic/Center
Enumeration Date: Jun 21, 2018
Last Updated: May 14, 2021

Practice Location

Address: 735 GREENVILLE AVE
Address 2: BLDG D
City: Johnston
State: Rhode Island
ZIP Code: 02919
Phone: (623) 277-1170

Authorized Official

Name: DEBORAH SUE COOLIDGE
Title: FINANCIAL ANALYSIS MANAGER
Phone: (623) 277-1170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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