Everside Health, LLC

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

NPI 1972901734 · NPPES record last updated Aug 12, 2022

Key facts

NPI
1972901734
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
Legal business name
EVERSIDE HEALTH, LLC
Practice address
7305 Quality Cir
Anderson, IN 46013-2014
Phone
(765) 374-6060
Fax
(765) 374-6061
NPI assigned
Dec 10, 2014
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 12

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

Practitioners 5

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
15D2060787Everside Health Unified Health and Wellness Clinic
7305 Quality Circle, Anderson, IN 46013
Certificate of waiverJun 17, 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

7305 Quality Cir
Anderson, IN 46013-2014

Mailing address

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

Other providers in Anderson, IN

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

Sources for this page

Verify at the official NPI Registry.