Evernorth Care Providers - Delaware PA
Internal Medicine in East Berlin, Connecticut
1437803012- Practice location
- 1224 Mill St Ste 224, East Berlin, CT 06023-1159
- Phone
- 773-292-4800
- Fax
- 312-564-4059
- Last updated
- January 22, 2024
Evernorth Care Providers - Delaware PA is a healthcare organization based in East Berlin, CT. Evernorth Care Providers - Delaware PA practices in East Berlin, CT. The NPI Number for Evernorth Care Providers - Delaware PA is 1437803012. The current practice location address for Evernorth Care Providers - Delaware PA is 1224 Mill St Ste 224, East Berlin, CT 06023-1159 and can be reached out via phone at 773-292-4800 and via fax at 312-564-4059.
Provider Profile Details
- NPI Number
- 1437803012
- Provider Name
- Evernorth Care Providers - Delaware PA
- Provider Entity Type
- Organization
- Address
- 1224 Mill St Ste 224, East Berlin, CT 06023-1159
- Phone Number
- 773-292-4800
- Fax Number
- 312-564-4059
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Grace V Blue · Credentialing Sr. Manager · 773-292-4800
- Provider Enumeration Date
- February 11, 2022
- Last Update Date
- January 22, 2024
- Certification Date
- January 22, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1224 Mill St Ste 224
East Berlin, CT 06023-1159 - City
- East Berlin
- State
- Connecticut
- Zip
- 06023-1159
- Phone Number
- 773-292-4800
- Fax Number
- 312-564-4059
Provider Business Mailing Address Details
- Address
- 730 Cool Springs Blvd Ste 500
Franklin, TN 37067-7331 - City
- Franklin
- State
- TN
- Zip
- 37067-7331
- Phone Number
- 773-292-4800
- Fax Number
- 312-564-4059
License Information
- Taxonomy (1)
- Family Medicine, Hospice and Palliative Medicine · 207QH0002X
- Taxonomy (2)
- Internal Medicine, Hospice and Palliative Medicine · 207RH0002X
- Taxonomy (3)
- Family Medicine · 207Q00000X
- Taxonomy (4)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Evernorth Care Providers - Delaware PA?
The NPI number of Evernorth Care Providers - Delaware PA is 1437803012. It was assigned on February 11, 2022 and is currently active in the NPPES registry.
What is the specialty of Evernorth Care Providers - Delaware PA?
Evernorth Care Providers - Delaware PA is registered under the primary taxonomy Internal Medicine (code 207R00000X).
Where does Evernorth Care Providers - Delaware PA practice?
The practice location is 1224 Mill St Ste 224, East Berlin, CT 06023-1159. The office can be reached at 773-292-4800 (phone) or 312-564-4059 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437803012 directly on the NPPES registry website.