Everside Health, LLC
Organization Active NPI Health Service Clinic/Center · Lagrange, IN
NPI 1356947535 · NPPES record last updated Aug 11, 2022
Key facts
- NPI
- 1356947535
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- Legal business name
- EVERSIDE HEALTH, LLC
- Practice address
- 2120 N Detroit St
Lagrange, IN 46761-1147 - Phone
- (260) 766-6190
- 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) 24
National Provider Directory
- Tax ID family
- Everside Health LLC
Locations
2157 N Damen Ave
Chicago, IL 60647
Phone (772) 278-4769
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Yes |
Addresses
Primary practice location
2120 N Detroit St
Lagrange, IN 46761-1147
Mailing address
4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916
Other providers in Lagrange, IN
- Mark Allen Denney
- Ronald L. Denton
- Doctor Footfixer, PC
- Jillian Alexandra Early
- Everside Health-Lagrange PHS
- Jonathan Michael Fansler
- Audrey Lee Fazio
- Lauren Fiandt
- Brandie Fitch
- Tom Marshall Fitch
All providers in Lagrange, 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 Aug 11, 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.