Evernorth Care Providers - Arizona Pc

LBN: Evernorth Care Providers - Arizona Pc
Evernorth Care Providers - Arizona Pc is an health care organization with primary practice located at 950 W Bannock St Ste 1100 , Boise ID 83702-6140. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Evernorth Care Providers - Arizona Pc can be contacted via phone (773) 292-4800, or through Blue, Grace via phone (773) 292-4800.

Contact Information

Primary practice address
950 W Bannock St Ste 1100 Boise ID 83702-6140
Phone: (773) 292-4800
Fax: (312) 564-4059
Website:
Map and Directions
Authorized official contact:
Name: Blue, Grace
Phone: (773) 292-4800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1295597821
LBN Legal business name Evernorth Care Providers - Arizona Pc
DBA Doing business as
Authorized official Blue, Grace
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2024
Last updated Jan 29th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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