OrganizationActive
Evernorth Direct Health LLC
NPI 1558014100 · Clinic/Center · Water Valley, MS
Provider details
- NPI number
- 1558014100
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Evernorth Direct Health LLC
- Organization subpart
- Yes
- Authorized official
- Deborah Coolidge, Financial Analysis Senior Manager(623) 277-1170
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
600 Highway 32
Water Valley, MS 38965-6431
Phone: (662) 473-5728
Fax: (662) 473-5755
Approximate (ZIP-level) locationGet directions
Mailing address
25600 N Norterra Dr
Phoenix, AZ 85085-8201
Registry dates
- Enumerated
- 2022-02-02
- Last updated
- 2022-02-02
- Certified
- 2022-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.