Evernorth Care Providers - Delaware Pa

LBN: Evernorth Care Providers - Delaware Pa
Evernorth Care Providers - Delaware Pa is an health care organization with primary practice located at 1224 Mill St Ste 224 , East Berlin CT 06023-1159. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Evernorth Care Providers - Delaware Pa can be contacted via phone (773) 292-4800, or through Blue, Grace V via phone (773) 292-4800.

Contact Information

Primary practice address
1224 Mill St Ste 224 East Berlin CT 06023-1159
Phone: (773) 292-4800
Fax: (312) 564-4059
Website:
Map and Directions
Authorized official contact:
Name: Blue, Grace V
Phone: (773) 292-4800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X

Profile Details

NPI number 1437803012
LBN Legal business name Evernorth Care Providers - Delaware Pa
DBA Doing business as
Authorized official Blue, Grace V
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2022
Last updated Jan 22nd, 2024 - about 11 months 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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