Provider Type Icon

EVERNORTH CARE PROVIDERS - TENNESSEE PC NPI 1689431132


NPI Information

NPI: 1689431132
Provider Name: EVERNORTH CARE PROVIDERS - TENNESSEE PC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
400 W CAPITOL AVE STE 1700
LITTLE ROCK, AR
ZIP 72201
Phone: (773) 292-4800
Get Directions

EVERNORTH CARE PROVIDERS - TENNESSEE PC is a general practice in Little Rock, AR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee EVERNORTH CARE PROVIDERS - TENNESSEE PC NPI is 1689431132. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

400 W CAPITOL AVE STE 1700
LITTLE ROCK, AR
ZIP 72201-438
Phone: (773) 292-4800
Fax: (312) 564-4059

The provider's authorized official is Grace Blue .
The authorized official title is Credentialing Sr. Manager and has the following contact phone number (773) 292-4800.

The enumeration date for this NPI number is 3/1/2024 and was last updated on 3/1/2024.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

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: 5/5/2024

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.