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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, LLC
NPI 1104599893
Clinic/Center in Fowler, IN

Active since July 28, 2021
604 E 2ND ST STE A, FOWLER, IN 47944(866) 808-6005 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 28, 2026, Jul 28, 2022, Jul 28, 2021 (3 updates tracked since 2021).

About Everside Health, Llc NPPES

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

EVERSIDE HEALTH, LLC (NPI 1104599893) is a healthcare organization registered as a clinic/center in Fowler, Indiana and active in the NPI registry since July 2021. The organization lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1104599893
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address604 E 2ND ST STE AFowler, IN 47944-1383
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone(866) 808-6005
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateJuly 28, 2021
Last NPPES UpdateSeptember 28, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1104599893 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).
604 E 2ND ST STE A, Fowler, IN 47944
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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, LLC's NPI number?

The NPI number for Everside Health, LLC is 1104599893. It was assigned to this organization in the NPPES registry on July 28, 2021.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 604 E 2nd St Ste A, Fowler, IN 47944. The listed phone number is (866) 808-6005.

What is Everside Health, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Everside Health, LLC was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.