EVERSIDE HEALTH, LLC; NPI #1982078705

Contact Information

EVERSIDE HEALTH, LLC

640 EAST MAIN STREET
SAINT HENRY, OH 45883

Phone: 419-763-4133
Fax: 419-763-4163
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for EVERSIDE HEALTH, LLC

NPI Number	`1982078705`
LBN Legal business name	EVERSIDE HEALTH, LLC
Authorized official	JILL PATTON - (DIRECTOR OF RISK MANAGEMENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/17/2015
Last updated	08/12/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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