Evergreen Place Llc

ActiveOrganizationSpecialty not listed
NPI issued: September 15, 2017

Quick Facts

NPI Number
1215456777
TypeOrganization
StatusActive
SpecialtySpecialty not listed
Taxonomy310400000X — Specialty not listed
Phone
(801) 921-0070
StateUT

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1215456777)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (September 15, 2017)
Data source: CMS NPPES

Provider Overview

EVERGREEN PLACE LLC is a Healthcare provider based in Midvale, UT who has been registered with CMS since 2017. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1215456777
Provider TypeOrganization
StatusActive
Enumeration DateSeptember 15, 2017

Practice Location

CityMidvale
StateUT
ZIP Code84047-2612
Phone(801) 921-0070

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code310400000X
License StateUT

Mailing Address

CityMidvale
StateUT
ZIP Code84047-2612
Phone(801) 921-0070
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1215456777 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1215456777for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

👤

For Patients

Share NPI 1215456777 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Specialty not listedproviders →
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27,142
Specialty not listed Providers in the US

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People Also Ask

What is Evergreen Place Llc's NPI number?
Evergreen Place Llc's NPI number is 1215456777, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Evergreen Place Llc's NPI currently active?
Yes, Evergreen Place Llc's NPI status is Active as of the latest CMS NPPES database updates.
What does Evergreen Place Llc specialize in?
Evergreen Place Llc specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 310400000X.
Where does Evergreen Place Llc practice?
Evergreen Place Llc practices in Midvale, UT 84047-2612.
When was Evergreen Place Llc's NPI issued?
Evergreen Place Llc's NPI was issued on September 15, 2017.
What is Evergreen Place Llc's provider type?
Evergreen Place Llc is registered as an Organization under CMS NPI Type 2.