EVERSIDE HEALTH LLC NPI 1700300209

NPI Information

  • NPI: 1700300209
  • Provider Name: EVERSIDE HEALTH, LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: ACTIVATE HEALTHCARE - LOCAL 212
  • CLIA Number: 36D2135149
  • Address: 212 CROWNE POINT PL STE 103
    CINCINNATI, OH
    ZIP 45241
  • Phone: (513) 326-2890

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NPI Details

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
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: 3/30/2025

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