EVERSIDE HEALTH LLC-ROCKET WELLNESS CENTER NPI 1235853839

NPI Information

  • NPI: 1235853839
  • Provider Name: EVERSIDE HEALTH LLC-ROCKET WELLNESS CENTER
  • Classification: Preventive Medicine - 2083P0500X
  • Specialization: Preventive Medicine/Occupational Environmental Medicine
  • Entity Type: Organization
  • CLIA Number: 15D2060787
  • Address: 220 W JACKSON ST
    SPRING GROVE, PA
    ZIP 17362
  • Phone: (717) 703-0990

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NPI Details

EVERSIDE HEALTH LLC-ROCKET WELLNESS CENTER is a preventive medicine/occupational environmental medicine preventive medicine in Spring Grove, PA. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. EVERSIDE HEALTH LLC-ROCKET WELLNESS CENTER NPI is 1235853839. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

220 W JACKSON ST
SPRING GROVE, PA
ZIP 17362-114
Phone: (717) 703-0990

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 CLIA number assigned to this NPI record is 15D2060787 - other - chronic mgt with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2022 and was last updated on 3/17/2023.

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
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineYes

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

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