Provider Demographics
NPI:1154601383
Name:ENVOY HEALTH MANAGEMENT, LLC
Entity type:Organization
Organization Name:ENVOY HEALTH MANAGEMENT, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:BURR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-310-4701
Mailing Address - Street 1:325 W. ATHERTON ROAD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507
Mailing Address - Country:US
Mailing Address - Phone:855-695-4748
Mailing Address - Fax:866-410-3762
Practice Address - Street 1:325 W. ATHERTON ROAD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507
Practice Address - Country:US
Practice Address - Phone:855-695-4748
Practice Address - Fax:866-410-3762
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DIPLOMAT PHARMACY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-08-19
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy