NPIMap

Everside Health, LLC

Organization Active NPI Primary Care Clinic/Center · Martinsville, IN

NPI 1861932055 · NPPES record last updated Aug 12, 2022

Key facts

NPI
1861932055
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
Legal business name
EVERSIDE HEALTH, LLC
Practice address
909 S Main St
Martinsville, IN 46151-2400
Phone
(765) 343-7040
Fax
(765) 349-4297
NPI assigned
Mar 7, 2017
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 18

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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
15D2132295Everside Health - Martinsville
909 South Main Street, Martinsville, IN 46151		Certificate of waiverJun 14, 2027

National Provider Directory

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Yes

Addresses

Primary practice location

909 S Main St
Martinsville, IN 46151-2400

Mailing address

4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916

Other providers in Martinsville, IN

All providers in Martinsville, IN · Primary Care Clinic/Center in Indiana

Sources for this page

Verify at the official NPI Registry.