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EVERNORTH CARE PROVIDERS - ARIZONA PC
NPI 1295597821
General Practice in Boise, ID

Active since January 29, 2024
950 W BANNOCK ST STE 1100, BOISE, ID 83702(773) 292-4800(312) 564-4059 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evernorth Care Providers - Arizona Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERNORTH CARE PROVIDERS - ARIZONA PC (NPI 1295597821) is a healthcare organization registered as a general practice in Boise, Idaho and active in the NPI registry since January 2024. The organization lists Grace Blue, Credentialing Sr. Manager, as its authorized official.

NPPES Registry Identity

NPI1295597821
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEVERNORTH CARE PROVIDERS - ARIZONA PC
Location Address950 W BANNOCK ST STE 1100Boise, ID 83702-6140
Mailing Address730 Cool Springs Blvd Ste 500Franklin, TN 37067-7331 · (773) 292-4800 · Fax (312) 564-4059
Phone(773) 292-4800
Fax(312) 564-4059
Organization SubpartNo
Authorized OfficialGrace BlueCredentialing Sr. Manager · (773) 292-4800
Enumeration DateJanuary 29, 2024
NPPES CertifiedJanuary 29, 2024
✔ NPI 1295597821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
950 W BANNOCK ST STE 1100, Boise, ID 83702
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABS HOSPICE CARE INC
Hospice Care, Community Based
950 W BANNOCK ST STE 1100
BOISE, ID 83702
Ada County (208) 296-6336
PRIME PROVIDERS ID LLC
In Home Supportive Care
950 W BANNOCK ST STE 1100
BOISE, ID 83702
Ada County (208) 900-6330
MARGARET E JOHNSON MSN, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
950 W BANNOCK ST STE 1100
BOISE, ID 83702
Ada County (833) 351-8255
PERMA MENTAL HEALTH PLLC
Psychiatry & Neurology (Psychiatry)
950 W BANNOCK ST STE 1100, STE. 1100
BOISE, ID 83702
Ada County (208) 996-1700
HAVEN EEOI HOLDINGS LLC
Home Health
950 W BANNOCK ST STE 1100
BOISE, ID 83702
Ada County (888) 891-0786
MRS. BREANNA MARIE ZOLD MAC
Counselor (Mental Health)
950 W BANNOCK ST STE 1100
BOISE, ID 83702
Ada County (323) 205-7088
DAVID E. NILSSON, PH.D., P.C.
Clinical Neuropsychologist
950 W BANNOCK ST STE 1100
BOISE, ID 83702
Ada County (208) 947-5368
MOMBA HOME CARE IDAHO, LLC
In Home Supportive Care
950 W BANNOCK ST STE 1100
BOISE, ID 83702
Ada County (800) 553-3495

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evernorth Care Providers - Arizona PC's NPI number?

The NPI number for Evernorth Care Providers - Arizona PC is 1295597821. It was assigned to this organization in the NPPES registry on January 29, 2024.

Where is Evernorth Care Providers - Arizona PC located?

Evernorth Care Providers - Arizona PC is located at 950 W Bannock St Ste 1100, Boise, ID 83702. The listed phone number is (773) 292-4800.

What is Evernorth Care Providers - Arizona PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Evernorth Care Providers - Arizona PC was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.