EVERNORTH DIRECT HEALTH LLC
NPI 1033990288
Clinic/Center in Baltimore, MD

NPI Status: Active since October 12, 2023

Contact Information

4403 FREDERICK AVE
BALTIMORE, MD
ZIP 21229
Phone: (623) 277-1190

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  • Organization
  • Clinic/Center

About EVERNORTH DIRECT HEALTH LLC

This page provides the complete NPI Profile along with additional information for Evernorth Direct Health Llc, a provider established in Baltimore, Maryland operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1033990288 assigned on October 2023. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Deborah Sue Coolidge (Financial Analysis Senior Manager)

NPI
1033990288
Provider Name
EVERNORTH DIRECT HEALTH LLC
Entity Type
Organization
Location Address
4403 FREDERICK AVE BALTIMORE, MD 21229
Location Phone
(623) 277-1190
Mailing Address
8888 E RAINTREE DR SCOTTSDALE, AZ 85260
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-12-2023
Last Update Date
10-12-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEBORAH SUE COOLIDGE

Authorized Official Title
FINANCIAL ANALYSIS SENIOR MANAGER
Authorized Official Phone
(623) 277-1170

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033990288
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20631890216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 8 + 9 + 0 + 2 + 1 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1033990288 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013325034 JONATHAN GLOVER ATC
Individual
Specialist/Technologist (Athletic Trainer)4403 FREDERICK AVE
BALTIMORE, MD 21229
(410) 644-3300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033990288, enumerated in the NPI registry as an "organization" on October 12, 2023

The provider is located at 4403 Frederick Ave Baltimore, Md 21229 and the phone number is (623) 277-1190

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on October 12, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.