EVERSIDE HEALTH LLC NPI 1649798307

NPI Information

NPI: 1649798307
Provider Name: EVERSIDE HEALTH, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3830 N COUNTY ROAD 75 W
NORTH VERNON, IN
ZIP 47265
Phone: (812) 346-1788
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EVERSIDE HEALTH, LLC is a primary care clinic center in North Vernon, IN. EVERSIDE HEALTH, LLC NPI is 1649798307. The provider is registered as an organization entity type.

The provider's business location address is:

3830 N COUNTY ROAD 75 W
NORTH VERNON, IN
ZIP 47265-004
Phone: (812) 346-1788
Fax: (812) 346-1799

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 9/1/2017 and was last updated on 8/11/2022.

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	261QP2300X	Clinic/Center	Primary Care			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: 5/5/2024

NPI Synchronization or Removal

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