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EVERSIDE HEALTH CENTER-FREMONT
NPI 1053022764
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine 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: December 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 preventive medicine/occupational environmental medicine 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 Taxonomy2083P0500X
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
NPPES CertifiedDecember 13, 2022
✔ NPI 1053022764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Definition

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

2380 SEAN DR STE 106, Fremont, OH 43420
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

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 December 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.