Everside Health, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

EVERSIDE HEALTH, LLC

Practice address

640 East Main Street
St. Henry, OH 45883

Phone

(419) 763-4133

Fax

(419) 763-4163

NPI assigned

Nov 17, 2015

Last updated

Sep 17, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jill Johnson Patton

Title

Director of Risk Management

Phone

(704) 936-5546

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Tax ID family

Everside Health LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

• Everside Health, LLC

  • Clinic/Center
  • Defiance, OH
  • NPI 1083018535
  NPD tax ID
• Everside Health, LLC

  • Clinic/Center
  • Archbold, OH
  • NPI 1225572092
  NPD tax ID
• Everside Health, LLC

  • Clinic/Center
  • Van Wert, OH
  • NPI 1689048787
  NPD tax ID
• Everside Health, LLC

  dba Activate Healthcare - Local 212

  • Clinic/Center
  • Cincinnati, OH
  • NPI 1700300209
  NPD tax ID
• Everside Health, LLC

  • Clinic/Center
  • Napoleon, OH
  • NPI 1942771225
  NPD tax ID
• Everside Health, LLC

  • Clinic/Center
  • Bryan, OH
  • NPI 1952834020
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce A Suchland, CNP

  • Family Nurse Practitioner
  • Sidney, OH
  • NPI 1487913422
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1982078705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 CHARLOTTE PARK DR STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 EAST MAIN STREET",
            "city": "ST. HENRY",
            "state": "OH",
            "postal_code": "45883",
            "telephone_number": "419-763-4133",
            "fax_number": "419-763-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERSIDE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "DIRECTOR OF RISK MANAGEMENT",
        "authorized_official_telephone_number": "704-936-5546"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lynn Bankey, OD
• Lyn Brophy
• Mark R Brown, D.O.
• Brittany Sue Buening, CNP
• Teresa Marie Delzeith, PTA
• Michael A. Fishbaugh Jr., O.D.
• Elizabeth Ann Francis, DDS
• Lydia Rita Franck
• Gardens at St. Henry Operating Company, LLC (Gardens at St. Henry)
• Gardens at St. Henry Operating Company, LLC (The Gardens at St. Henry)

• Clinic/Center in Saint Henry, OH
• Providers in Saint Henry, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.