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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EVERSIDE HEALTH CENTER-FREMONT
NPI 1053022764
Clinic/Center in Fremont, OH

Active since December 13, 2022CLIA 18D2079855 · Waiver
2380 SEAN DR STE 106, FREMONT, OH 43420(704) 529-6161 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 17, 2026, Dec 13, 2022 (2 updates tracked since 2022).

About Everside Health Center-fremont NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERSIDE HEALTH CENTER-FREMONT (NPI 1053022764) is a healthcare organization registered as a clinic/center in Fremont, Ohio and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through March 6, 2028 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1053022764
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEVERSIDE HEALTH CENTER-FREMONT
Location Address2380 SEAN DR STE 106Fremont, OH 43420-9801
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916 · (704) 936-5546
Phone(704) 529-6161
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateDecember 13, 2022
Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1053022764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
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).
2380 SEAN DR STE 106, Fremont, OH 43420
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2079855

Everside Health - Seven Counties · Louisville, KY
Active · expires Mar 6, 2028
CLIA Number18D2079855
Laboratory TypeChronic Disease Mgmt
Certificate Effective DateMarch 7, 2026
Certificate Expiration DateMarch 6, 2028
Laboratory DirectorMs. Kimberly Spencer
Laboratory Phone(704) 529-6161
Laboratory LocationEverside Health - Seven Counties914 E Broadway Suite 200, Louisville, KY 40204
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Everside Health Center-Fremont's NPI number?

The NPI number for Everside Health Center-Fremont is 1053022764. It was assigned to this organization in the NPPES registry on December 13, 2022.

Where is Everside Health Center-Fremont located?

Everside Health Center-Fremont is located at 2380 Sean Dr Ste 106, Fremont, OH 43420. The listed phone number is (704) 529-6161.

What is Everside Health Center-Fremont's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Everside Health Center-Fremont hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2079855) is associated with this NPI, valid through March 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Everside Health Center-Fremont was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.