Evernorth Care Providers - Arizona PC
NPI 1881455269ActiveOrganization· General Practice· Missoula, MT
General Practice in Missoula, Montana, registered in NPPES in January 2024. The authorized official on file is Grace Blue, Credentialing Sr. Manager.
Overview
| NPI | 1881455269 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 22, 2024 |
| Last updated in NPPES | Jan 22, 2024 |
| Certified by provider | Jan 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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