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Evernorth Care Providers - Arizona PC

General Practice Physician in Fargo, ND · enumerated 2024 · authorized official Grace Blue, Credentialing Sr. Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1952164196

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Registry record

Entity type Organization (Type 2)
Legal business name Evernorth Care Providers - Arizona PC
Practice address 1531 32nd Ave S Ste 102, Fargo, ND, 58103
Fax (312) 564-4059
Enumeration date Jan 31, 2024
Last updated in NPPES Jan 31, 2024

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Grace Blue
Title Credentialing Sr. Manager

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Evernorth Care Providers - Arizona PC?
Evernorth Care Providers - Arizona PC is registered in NPPES as a General Practice Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-31.