EVERSIDE HEALTH LLC NPI 1649865874

NPI Information

  • NPI: 1649865874
  • Provider Name: EVERSIDE HEALTH, LLC
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 8053 N DURANGO DR STE 160
    LAS VEGAS, NV
    ZIP 89131
  • Phone: (702) 960-4486

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NPI Details

EVERSIDE HEALTH, LLC is a health service clinic center in Las Vegas, NV. EVERSIDE HEALTH, LLC NPI is 1649865874. The provider is registered as an organization entity type.

The provider's business location address is:

8053 N DURANGO DR STE 160
LAS VEGAS, NV
ZIP 89131-322
Phone: (702) 960-4486

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 3/9/2021 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
1261QH0100XClinic/CenterHealth ServiceYes

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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