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Contact Information

EVERNORTH CARE PROVIDERS - DELAWARE PA
1224 MILL ST STE 224
EAST BERLIN, CT06023-1159
 Phone: 773-292-4800
 Fax: 312-564-4059
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for EVERNORTH CARE PROVIDERS - DELAWARE PA

NPI Number 1437803012
LBN Legal business name EVERNORTH CARE PROVIDERS - DELAWARE PA
Authorized official GRACE BLUE - (CREDENTIALING SR. MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/11/2022
Last updated 01/22/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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