OrganizationActive
Evernorth Care Providers - Arizona PC
NPI 1881455269 · General Practice Physician · Missoula, MT
Provider details
- NPI number
- 1881455269
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Grace Blue, Credentialing Sr. Manager(773) 292-4800
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2806 S Garfield St
Missoula, MT 59801-7705
Phone: (773) 292-4800
Fax: (312) 564-4059
Street-level locationGet directions
Mailing address
730 Cool Springs Blvd Ste 500
Franklin, TN 37067-7331
Registry dates
- Enumerated
- 2024-01-22
- Last updated
- 2024-01-22
- Certified
- 2024-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.