EVERSIDE HEALTH LLC NPI 1093194805

NPI Information

  • NPI: 1093194805
  • Provider Name: EVERSIDE HEALTH, LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: LOCAL 440 CLINIC
  • Address: 8523 MADISON AVE STE A
    INDIANAPOLIS, IN
    ZIP 46227
  • Phone: (317) 879-5206

Map and Directions

Get Directions

NPI Details

EVERSIDE HEALTH, LLC is a primary care clinic center in Indianapolis, IN. EVERSIDE HEALTH, LLC NPI is 1093194805. The provider is registered as an organization entity type.
The provider Is Doing Business As Local 440 Clinic.

The provider's business location address is:

8523 MADISON AVE STE A
INDIANAPOLIS, IN
ZIP 46227-117
Phone: (317) 879-5206
Fax: (317) 879-5262

The provider's authorized official is Karla Spivey .
The authorized official title is Central Support Specialist and has the following contact phone number (317) 869-3164.

The enumeration date for this NPI number is 5/26/2015 and was last updated on 6/27/2024.

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
1261QP2300XClinic/CenterPrimary CareYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI