Everside Health, LLC
Organization Active NPI Health Service Clinic/Center · Las Vegas, NV
NPI 1104490135 · NPPES record last updated Jul 28, 2022
Key facts
- NPI
- 1104490135
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- Legal business name
- EVERSIDE HEALTH, LLC
- Practice address
- 911 N Buffalo Dr Unit 113
Las Vegas, NV 89128-0380 - Phone
- (702) 960-4441
- NPI assigned
- May 14, 2021
- Organization subpart
- No
Authorized official
- Name
- Jill Johnson Patton
- Title
- Director of Risk Management
- Phone
- (704) 936-5546
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Everside Health LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Yes |
Addresses
Primary practice location
911 N Buffalo Dr Unit 113
Las Vegas, NV 89128-0380
Mailing address
4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916
Other providers in Las Vegas, NV
- Everlast Wellness Group LLC
- Katie Everly
- Reeve Ryan Evers
- Everside Health LLC
- Everside Health, LLC
- Everside Health, LLC
- Everside Health, LLC
- Everside Health, LLC
- Everside Health, LLC
- Everside Health, LLC
All providers in Las Vegas, NV · Health Service Clinic/Center in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.