Evernorth Care Providers - Tennessee Pc

LBN: Evernorth Care Providers - Tennessee Pc
Evernorth Care Providers - Tennessee Pc is an health care organization with primary practice located at 11350 Random Hills Rd Ste 800 , Fairfax VA 22030-6044. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Evernorth Care Providers - Tennessee Pc can be contacted via phone (773) 292-4800, or through Blue, Grace V via phone (773) 292-4800.

Contact Information

Primary practice address
11350 Random Hills Rd Ste 800 Fairfax VA 22030-6044
Phone: (773) 292-4800
Fax: (312) 564-4059
Website:
Map and Directions
Authorized official contact:
Name: Blue, Grace V
Phone: (773) 292-4800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1174304976
LBN Legal business name Evernorth Care Providers - Tennessee Pc
DBA Doing business as
Authorized official Blue, Grace V
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2023
Last updated Feb 14th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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