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Everside Health, LLC

Organization Active NPI Clinic/Center · Las Vegas, NV

NPI 1407481997 · NPPES record last updated Aug 11, 2022

Key facts

NPI
1407481997
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
EVERSIDE HEALTH, LLC
Practice address
911 N Buffalo Dr Unit 113
Las Vegas, NV 89128-0380
Phone
(702) 960-4415
NPI assigned
Mar 5, 2020
Organization subpart
No

Authorized official

Name
Jill Johnson Patton
Title
Director of Risk Management
Phone
(704) 936-5546

Corporate family (same tax ID) 21

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2159215Activate Healthcare-Local 525 Buffalo Clinic
911 N Buffalo Dr Unit 113, Las Vegas, NV 89128		Certificate of waiverDec 12, 2026

National Provider Directory

Tax ID family
Everside Health LLC (200 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 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 names

  • Activate Healthcare Doing business as

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Clinic/Center in Nevada

Sources for this page

Verify at the official NPI Registry.