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EVERNORTH CARE PROVIDERS - ARIZONA PC
NPI 1881455269
General Practice in Missoula, MT

Active since January 22, 2024
2806 S GARFIELD ST, MISSOULA, MT 59801(773) 292-4800(312) 564-4059 Get Directions Write a Review

NPPES record last updated: January 22, 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 1881455269) is a healthcare organization registered as a general practice in Missoula, Montana and active in the NPI registry since January 2024. The organization lists Grace Blue, Credentialing Sr. Manager, as its authorized official.

NPPES Registry Identity

NPI1881455269
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEVERNORTH CARE PROVIDERS - ARIZONA PC
Location Address2806 S GARFIELD STMissoula, MT 59801-7705
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 22, 2024
NPPES CertifiedJanuary 22, 2024
✔ NPI 1881455269 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
2806 S GARFIELD ST, Missoula, MT 59801
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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

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 1881455269. It was assigned to this organization in the NPPES registry on January 22, 2024.

Where is Evernorth Care Providers - Arizona PC located?

Evernorth Care Providers - Arizona PC is located at 2806 S Garfield St, Missoula, MT 59801. 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 22, 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.