EVERNORTH DIRECT HEALTH LLC NPI 1710510235

NPI Information

  • NPI: 1710510235
  • Provider Name: EVERNORTH DIRECT HEALTH LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Other Name: BORG WARNER - BELLWOOD
  • CLIA Number: 14D2178219
  • Address: 700 25TH AVE
    BELLWOOD, IL
    ZIP 60104
  • Phone: (708) 547-2667

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NPI Details

EVERNORTH DIRECT HEALTH LLC is a clinic center in Bellwood, IL. 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 1710510235. The provider is registered as an organization entity type.
The provider Other Name Is Borg Warner - Bellwood.

The provider's business location address is:

700 25TH AVE
BELLWOOD, IL
ZIP 60104-908
Phone: (708) 547-2667

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 14D2178219 - other - out-patient with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2020 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 11/21/2025

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