EVERNORTH DIRECT HEALTH LLC – NPI #1013401124
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

EVERNORTH DIRECT HEALTH LLC is an AHC clinic located in JOHNSTON, RI. NPPES has assigned the NPI number 1013401124 to EVERNORTH DIRECT HEALTH LLC on June 21, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. EVERNORTH DIRECT HEALTH LLC is also known by the name JOHNSTON WELLNESS CENTER. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 5 years ago on May 14, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVERNORTH DIRECT HEALTH LLC below.

NPI Profile for
EVERNORTH DIRECT HEALTH LLC

NPI Number
1013401124
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EVERNORTH DIRECT HEALTH LLC
Other Name: JOHNSTON WELLNESS CENTER
Primary location
735 GREENVILLE AVE
BLDG D
JOHNSTON, RI 02919
Phone: (623) 277-1170 Fax:
Mailing address
25500 N NORTERRA DR
PHOENIX, AZ 85085-8200
Phone: (623) 277-1170 Fax:
Organization Subpart
No
Authorized Official
DEBORAH COOLIDGE
FINANCIAL ANALYSIS MANAGER
Phone: (623) 277-1170
Updated
Certification Date
May 14, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.