MEDICARE: EVERNORTH DIRECT HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1346020567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVERNORTH DIRECT HEALTH LLC

Provider Business Mailing Address
First Line	:	8888 E RAINTREE DR
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-3951
Country	:	US
Telephone Number	:	480-589-6285
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 E KENNEDY BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-4156
Country	:	US
Telephone Number	:	602-277-1190
Fax Number	:

Authorized Official
Title or Position	:	FINANCIAL ANALYSIS SENIOR MANAGER
Name	:	DEBORAH SUE COOLIDGE
Credential	:
Telephone Number	:	623-277-1170

Provider Enumeration Date	:	10/04/2023
Last Update Date	:	10/04/2023

Similar Medicare Providers

1174722920 — HILLSBOROUGH COUNTY DEPARTMENT OF AGING SERVICES
Practice Location Address:

601 E KENNEDY BLVD , AGING SERVICES, 25TH FLOOR
TAMPA, FL
33602-4156

Practice Phone: 813-272-5242
Practice Fax: 813-272-6862

1548451396 — HILLSBOROUGH COUNTY
Practice Location Address:

601 E KENNEDY BLVD , 25TH FLOOR
TAMPA, FL
33602-4156

Practice Phone: 813-301-7374
Practice Fax:

1720279565 — HILLSBOROUGH COUNTY
Practice Location Address:

601 E KENNEDY BLVD , 25TH FLOOR
TAMPA, FL
33602-4156

Practice Phone: 813-301-7374
Practice Fax: 813-276-2865

1588519961 — JENNIFER MAY FARLEY M.S., CCC-SLP
Practice Location Address:

4200 W CYPRESS ST
TAMPA, FL
33607-4156

Practice Phone: 323-731-8633
Practice Fax:

1922081504 — AMERIGROUP FLORIDA, INC.
Practice Location Address:

4200 W CYPRESS ST , SUITE 900
TAMPA, FL
33607-4156

Practice Phone: 813-830-6900
Practice Fax: 757-222-2377

1013935618 — TONI ANITA MITCHELL MD
Practice Location Address:

4200 W CYPRESS ST
TAMPA, FL
33607-4156

Practice Phone: 813-830-6905
Practice Fax: 813-314-2045

Directions to “EVERNORTH DIRECT HEALTH LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.