Everside Health, LLC-Butler Clinic
Organization Active NPI Health Service Clinic/Center · Butler, IN
NPI 1174129357 · NPPES record last updated Sep 20, 2023
Key facts
- NPI
- 1174129357
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- Legal business name
- EVERSIDE HEALTH, LLC-BUTLER CLINIC
- Practice address
- 306 Dr. Hampel Drive
Butler, IN 46721-1119 - Phone
- (260) 366-4770
- NPI assigned
- Dec 11, 2020
- Organization subpart
- No
Authorized official
- Name
- Jill Johnson Patton
- Title
- Director of Risk Management
- Phone
- (704) 936-5546
Corporate family (same tax ID) 19
Practitioners 2
-
Robin D Brauchla, NP
-
Deborah Carol Nethercutt, NP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2207848 | Everside Health-Butler Clinic | Certificate of waiver | Dec 30, 2026 |
National Provider Directory
- Tax ID family
- Everside Health LLC
Locations
300 E Washington St
Butler, IN 46721
306 Dr. Hampel Dr
Butler, IN 46721
Phone (260) 366-4770
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Yes |
Addresses
Primary practice location
306 Dr. Hampel Drive
Butler, IN 46721-1119
Mailing address
4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916
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All providers in Butler, IN · Health Service Clinic/Center in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.