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 121 Sw Morrison St Ste 525 , Portland OR 97204-3247. 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 via phone (773) 292-4800.
Contact Information
Primary practice address
121 Sw Morrison St Ste 525
Portland OR 97204-3247
Phone: (773) 292-4800
Fax: (312) 564-4059
Website:
Health care specialties
| Specialty | Code | License # | 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 | 1700529120 |
|---|---|
| LBN Legal business name | Evernorth Care Providers - Delaware Pa |
| DBA Doing business as | |
| Authorized official | Blue, Grace |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 14th, 2022 |
| Last updated | Dec 13th, 2023 - about last year |
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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