Everside Health, LLC
Organization Active NPI Family Medicine Physician · Fowler, IN
NPI 1104599893 · NPPES record last updated Jul 28, 2022
Key facts
- NPI
- 1104599893
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- EVERSIDE HEALTH, LLC
- Practice address
- 604 E 2ND St Ste a
Fowler, IN 47944-1383 - Phone
- (866) 808-6005
- NPI assigned
- Jul 28, 2021
- Organization subpart
- No
Authorized official
- Name
- Jill Johnson Patton
- Title
- Director of Risk Management
- Phone
- (704) 936-5546
Corporate family (same tax ID) 17
Practitioners 1
National Provider Directory
- Tax ID family
- Everside Health LLC
Locations
926 W 500 S
Berne, IN 46711
Phone (260) 849-4296
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
604 E 2ND St Ste a
Fowler, IN 47944-1383
Mailing address
4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916
Other providers in Fowler, IN
- Charles Kent Stembel Estate
- Patricia Metzler Cook
- Daviess County Hospital
- Timothy Aldrich Downing
- Downingddsllc
- Fifty Two B.E.a.M.S., LLC
- Fowler Family Dentistry, Inc.
- Fowler Medical Clinic
- Glotzbach Pharmacy LLC
- Glotzbach Pharmacy LLC
All providers in Fowler, IN · Family Medicine Physician in Indiana
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.