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EVERNORTH DIRECT HEALTH LLC NPI 1194377085


NPI Information

NPI: 1194377085
Provider Name: EVERNORTH DIRECT HEALTH LLC

Other Name: PALM BEACH SHERIFF'S OFFICE - BELLE GLADE

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 10D2174361

Address:
38771 JAMES WHEELER WAY
BELLE GLADE, FL
ZIP 33430
Phone: (623) 277-1190
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EVERNORTH DIRECT HEALTH LLC is a clinic center in Belle Glade, FL. The provider is 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). EVERNORTH DIRECT HEALTH LLC NPI is 1194377085. The provider is registered as an organization entity type.
The provider Other Name Is Palm Beach Sheriff's Office - Belle Glade.

The provider's business location address is:

38771 JAMES WHEELER WAY
BELLE GLADE, FL
ZIP 33430-301
Phone: (623) 277-1190

The provider's authorized official is Deborah Sue Coolidge .
The authorized official title is Financial Analysis Senior Manager and has the following contact phone number (623) 277-1170.

The CLIA number assigned to this NPI record is 10D2174361 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2019 and was last updated on 5/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.