Evernorth Direct Health LLC
NPI 1710748645ActiveOrganization· Clinic/Center· Glen Burnie, MD
Clinic/Center in Glen Burnie, Maryland, registered in NPPES in January 2024, part of Evernorth Direct Health LLC. The authorized official on file is Deborah Sue Coolidge, Financial Analysis Senior Manager.
Overview
| NPI | 1710748645 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Evernorth Direct Health LLC |
| NPI issued | Jan 18, 2024 |
| Last updated in NPPES | Jan 18, 2024 |
| Certified by provider | Jan 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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