EVERSIDE HEALTH LLC NPI 1700300209

NPI Information

NPI: 1700300209
Provider Name: EVERSIDE HEALTH, LLC

Doing Business As: ACTIVATE HEALTHCARE - LOCAL 212

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
212 CROWNE POINT PL STE 103
CINCINNATI, OH
ZIP 45241
Phone: (513) 326-2890
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EVERSIDE HEALTH, LLC is a primary care clinic center in Cincinnati, OH. EVERSIDE HEALTH, LLC NPI is 1700300209. The provider is registered as an organization entity type.
The provider Is Doing Business As Activate Healthcare - Local 212.

The provider's business location address is:

212 CROWNE POINT PL STE 103
CINCINNATI, OH
ZIP 45241-388
Phone: (513) 326-2890
Fax: (513) 326-2891

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 36D2135149 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2017 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: 4/28/2024

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