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EVERSIDE HEALTH LLC NPI 1700418423


NPI Information

NPI: 1700418423
Provider Name: EVERSIDE HEALTH, LLC

Doing Business As: ACTIVATE HEALTHCARE

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
39595 W 10 MILE RD STE 101
NOVI, MI
ZIP 48375
Phone: (248) 348-1540
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EVERSIDE HEALTH, LLC is a clinic center in Novi, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). EVERSIDE HEALTH, LLC NPI is 1700418423. The provider is registered as an organization entity type.
The provider Is Doing Business As Activate Healthcare.

The provider's business location address is:

39595 W 10 MILE RD STE 101
NOVI, MI
ZIP 48375-948
Phone: (248) 348-1540

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 2/11/2020 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

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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