EVERSIDE HEALTH SPRINGFIELD-MONTVALE DR. NPI 1275133985

NPI Information

NPI: 1275133985
Provider Name: EVERSIDE HEALTH, SPRINGFIELD-MONTVALE DR.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
2930 MONTVALE DR STE C
SPRINGFIELD, IL
ZIP 62704
Phone: (773) 697-3144
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EVERSIDE HEALTH, SPRINGFIELD-MONTVALE DR. is a health service clinic center in Springfield, IL. EVERSIDE HEALTH, SPRINGFIELD-MONTVALE DR. NPI is 1275133985. The provider is registered as an organization entity type.

The provider's business location address is:

2930 MONTVALE DR STE C
SPRINGFIELD, IL
ZIP 62704-376
Phone: (773) 697-3144

The provider's authorized official is Jill Johnson Patton .
The authorized official title is Director Of Risk Management and has the following contact phone number (704) 936-5546.

The enumeration date for this NPI number is 10/30/2020 and was last updated on 3/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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