EVERNORTH DIRECT HEALTH LLC
NPI 1164007423
Clinic/Center in Seneca, SC

NPI Status: Active since March 17, 2021

Contact Information

15545 WELLS HWY
SENECA, SC
ZIP 29678
Phone: (864) 985-5009
Fax: (864) 985-5008

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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 Seneca, South Carolina operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1164007423 assigned on March 2021. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Deborah Sue Coolidge (Financial Analysis Senior Manager)

NPI
1164007423
Provider Name
EVERNORTH DIRECT HEALTH LLC
Entity Type
Organization
Location Address
15545 WELLS HWY SENECA, SC 29678
Location Phone
(864) 985-5009
Location Fax
(864) 985-5008
Mailing Address
15545 WELLS HWY SENECA, SC 29678
Mailing Phone
(864) 985-5009
Mailing Fax
(864) 985-5008
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-17-2021
Last Update Date
05-03-2021
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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.
1164007423
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21124001444
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 0 + 0 + 1 + 4 + 4 + 4 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1164007423 is valid because the calculated check digit 3 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
1639433287MRS. TAWNY JENNA MCINTOSH APRN
Individual
Nurse Practitioner (Family)15545 WELLS HWY
SENECA, SC 29678
(864) 985-5009

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164007423, enumerated in the NPI registry as an "organization" on March 17, 2021

The provider is located at 15545 Wells Hwy Seneca, Sc 29678 and the phone number is (864) 985-5009

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

This NPI record was last updated on March 17, 2021. 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.