Everside Health LLC
Organization Active NPI Family Medicine Physician · Kokomo, IN
NPI 1861156945 · NPPES record last updated Aug 12, 2022
Key facts
- NPI
- 1861156945
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- EVERSIDE HEALTH LLC
- Practice address
- 613 S Reed Rd
Kokomo, IN 46901-5688 - Phone
- (866) 808-6005
- NPI assigned
- Oct 26, 2021
- Organization subpart
- No
Authorized official
- Name
- Jill Johnson Patton
- Title
- Director of Risk Management
- Phone
- (704) 936-5546
Corporate family (same tax ID) 21
Practitioners 2
-
Jeffrey Allen Glover, F.N.P.
National Provider Directory
- Tax ID family
- Everside Health LLC
Locations
604 E 2nd St
Ste A
Fowler, IN 47944
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
613 S Reed Rd
Kokomo, IN 46901-5688
Mailing address
4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916
Other providers in Kokomo, IN
- Brooke Eubank
- Jose Rodney Evangelista
- Tiara Evangelista
- Clifford J Evans
- Evernorth Direct Health LLC
- Casey Ewart
- Andre Ewing
- Dewayne M. Ewing
- Leah Exmeyer
- Eye Center Group LLC
All providers in Kokomo, 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 Aug 12, 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.