EVERNORTH CARE PROVIDERS - ARIZONA PC – NPI #1891565123
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

EVERNORTH CARE PROVIDERS - ARIZONA PC is a provider located in HENDERSON, NV. NPPES has assigned the NPI number 1891565123 to EVERNORTH CARE PROVIDERS - ARIZONA PC on January 08, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

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 CARE PROVIDERS - ARIZONA PC below.

NPI Profile for
EVERNORTH CARE PROVIDERS - ARIZONA PC

NPI Number
1891565123
Enumeration Date

(more than 2 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 CARE PROVIDERS - ARIZONA PC
Primary location
2850 W HORIZON RIDGE PKWY STE 200
HENDERSON, NV 89052-4395
Phone: (773) 292-4800 Fax: (312) 564-4059
Mailing address
730 COOL SPRINGS BLVD STE 500
FRANKLIN, TN 37067-7331
Phone: (773) 292-4800 Fax: (312) 564-4059
Organization Subpart
No
Authorized Official
GRACE BLUE
CREDENTIALING SR. MANAGER
Phone: (773) 292-4800
Updated
Certification Date
Jan 08, 2024

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
208D00000X
- General Practice (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.