EVERSIDE HEALTH, LLC – NPI #1982078705
Clinic/Center

EVERSIDE HEALTH, LLC is an AHC clinic located in SAINT HENRY, OH. NPPES has assigned the NPI number 1982078705 to EVERSIDE HEALTH, LLC on November 17, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 4 years ago on Aug 12, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVERSIDE HEALTH, LLC below.

NPI Profile for
EVERSIDE HEALTH, LLC

NPI Number
1982078705
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EVERSIDE HEALTH, LLC
Primary location
640 EAST MAIN STREET
SAINT HENRY, OH 45883
Phone: (419) 763-4133 Fax: (419) 763-4163
Mailing address
4651 CHARLOTTE PARK DR STE 300
CHARLOTTE, NC 28217-1916
Phone: Fax:
Organization Subpart
No
Authorized Official
JILL PATTON
DIRECTOR OF RISK MANAGEMENT
Phone: (704) 936-5546
Updated
Certification Date
Aug 12, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.