| Evernorth Direct Health Llc | |
|
1301 N Davis Ave Ottawa KS 66067-9778 | |
| (623) 277-1190 | |
| Not Available |
| Full Name | Evernorth Direct Health Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1301 N Davis Ave, Ottawa, Kansas |
| Authorized Official Name and Position | Deborah Sue Coolidge (FINANCIAL ANALYSIS SENIOR MANAGER) |
| Authorized Official Contact | 6232771170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evernorth Direct Health Llc 1301 N Davis Ave Ottawa KS 66067-9778 Ph: () - | Evernorth Direct Health Llc 1301 N Davis Ave Ottawa KS 66067-9778 Ph: (623) 277-1190 |
| NPI Number | 1275101818 |
|---|---|
| Provider Enumeration Date | 06/10/2021 |
| Last Update Date | 06/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275101818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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