| Everside Health, Llc | |
|
611 Lincoln Way E South Bend IN 46601-3220 | |
| (574) 855-1090 | |
| (574) 855-4660 |
| Full Name | Everside Health, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 611 Lincoln Way E, South Bend, Indiana |
| Authorized Official Name and Position | Jill Johnson Patton (DIRECTOR OF RISK MANAGEMENT) |
| Authorized Official Contact | 7049365546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Everside Health, Llc 4651 Charlotte Park Dr Ste 300 Charlotte NC 28217-1916 Ph: () - | Everside Health, Llc 611 Lincoln Way E South Bend IN 46601-3220 Ph: (574) 855-1090 |
| NPI Number | 1548658651 |
|---|---|
| Provider Enumeration Date | 12/26/2014 |
| Last Update Date | 08/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548658651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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