Evernorth Care Providers - Delaware Pa | |
1045 Elm St Ste 204 Manchester NH 03101-1844 | |
(773) 292-4800 | |
(312) 564-4059 |
Full Name | Evernorth Care Providers - Delaware Pa |
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Speciality | General Practice |
Location | 1045 Elm St Ste 204, Manchester, New Hampshire |
Authorized Official Name and Position | Grace Blue (CREDENTIALING SR. MANAGER) |
Authorized Official Contact | 7732924800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Evernorth Care Providers - Delaware Pa 730 Cool Springs Blvd Ste 500 Franklin TN 37067-7331 Ph: (773) 292-4800 | Evernorth Care Providers - Delaware Pa 1045 Elm St Ste 204 Manchester NH 03101-1844 Ph: (773) 292-4800 |
NPI Number | 1891559894 |
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Provider Enumeration Date | 02/09/2024 |
Last Update Date | 02/09/2024 |
Identifier | Type | State | Issuer |
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1891559894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Healthways Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 59 Sheffield Rd, Manchester, NH 03103 Phone: 603-606-7020 Fax: 603-622-4102 |