EVERNORTH DIRECT HEALTH LLC
NPI 1740970631
Clinic/Center in Muskogee, OK

NPI Status: Active since May 12, 2023

Contact Information

3801 DAL TILE RD
MUSKOGEE, OK
ZIP 74401
Phone: (918) 682-2672
Fax: (918) 682-2673

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  • Organization
  • Clinic/Center
  • CLIA Number: 37D2105268
  • CLIA Cert. Type: Other - OUTPATIENT
  • CLIA Exp. Date: 11-22-2025

About EVERNORTH DIRECT HEALTH LLC

This page provides the complete NPI Profile along with additional information for Evernorth Direct Health Llc, a provider established in Muskogee, Oklahoma operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1740970631 assigned on May 2023. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Deborah Sue Coolidge (Financial Analysis Senior Manager)

NPI
1740970631
Provider Name
EVERNORTH DIRECT HEALTH LLC
Entity Type
Organization
Location Address
3801 DAL TILE RD MUSKOGEE, OK 74401
Location Phone
(918) 682-2672
Location Fax
(918) 682-2673
Mailing Address
8888 E RAINTREE DR SCOTTSDALE, AZ 85260
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-12-2023
Last Update Date
05-12-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEBORAH SUE COOLIDGE

Authorized Official Title
FINANCIAL ANALYSIS SENIOR MANAGER
Authorized Official Phone
(623) 277-1170

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D2105268
Facility Type
Other - OUTPATIENT
Certificate Effective Date
November 23, 2023
Certificate Expiration Date
November 22, 2025
Laboratory Director
ERICA NEVES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Evernorth Direct Health Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1740970631, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
4
Doubled → 8
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 9 → 18 → 9 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 8 + 0 + 1 + 8 + 7 + 0 + 6 + 6 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1740970631.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740970631, enumerated as an "organization" on May 12, 2023.

The provider is located at 3801 DAL TILE RD MUSKOGEE, OK 74401 and the phone number is (918) 682-2672.

Clinic/Center with taxonomy code 261Q00000X.