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Evernorth Care Providers - Arizona PC

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Company Details

Name: Evernorth Care Providers - Arizona PC
Jurisdiction: Idaho
Legal type: Foreign Business Corporation
Status: Active-Good Standing
Date of registration: 18 Jan 2024 (a year ago)
Financial Date End: 31 Jan 2026
Entity Number: 5565380
Place of Formation: ARIZONA
File Number: 916725
ZIP code: 83702
County: Ada County
Principal Address: SUITE 1100 950 BANNOCK STREET BOISE, ID 83702
Mailing Address: STE 500 730 COOL SPRINGS BLVD FRANKLIN, TN 37067-7331

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 1555 W SHORELINE DR, STE 100, BOISE, ID 83702

President

Name Role Address Appointed On
Cheryl Hilton, DO President 101 S REID STREET, SUITE 307, SIOUX FALLS, SD 57103 2024-12-23

National Provider Identifier

NPI Number:
1295597821
Certification Date:
2024-01-29

Authorized Person:

Name:
GRACE BLUE
Role:
CREDENTIALING SR. MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Fax:
3125644059

Filing

Filing Name Filing Number Filing date
Amendment of Foreign Registration Statement 0006085272 2025-01-30
Annual Report 0006033845 2024-12-23
Initial Filing 0005565380 2024-01-18

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Date of last update: 22 May 2025

Sources: Idaho Secretary of State