EVERSIDE HEALTH LLC NPI 1689048787

NPI Information

NPI: 1689048787
Provider Name: EVERSIDE HEALTH, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
303 TOWN CENTER BLVD
VAN WERT, OH
ZIP 45891
Phone: (419) 232-2554
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EVERSIDE HEALTH, LLC is a primary care clinic center in Van Wert, OH. EVERSIDE HEALTH, LLC NPI is 1689048787. The provider is registered as an organization entity type.

The provider's business location address is:

303 TOWN CENTER BLVD
VAN WERT, OH
ZIP 45891-087
Phone: (419) 232-2554
Fax: (419) 232-2581

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 11/30/2015 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: 5/5/2024

NPI Synchronization or Removal

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