EVERSIDE HEALTH LLC NPI 1861890626

NPI Information

EVERSIDE HEALTH, LLC is a primary care clinic center in Bedford, IN. EVERSIDE HEALTH, LLC NPI is 1861890626. The provider is registered as an organization entity type.

The provider's business location address is:

1901 16TH ST UPPR LEVEL
UPPER LEVEL
BEDFORD, IN
ZIP 47421-745
Phone: (812) 675-0975
Fax: (812) 675-0981

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 15D2049323 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/10/2014 and was last updated on 8/12/2022.

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:

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