EVERSIDE HEALTH, LLC-BUTLER CLINIC
NPI 1174129357
Clinic/Center - Health Service in Butler, IN

Active since December 11, 2020CLIA 15D2207848 · Waiver
306 DR. HAMPEL DRIVE, BUTLER, IN 46721(260) 366-4770 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2022, Sep 9, 2021, Dec 11, 2020 (3 updates tracked since 2020).

About Everside Health, Llc-butler Clinic NPPES

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

EVERSIDE HEALTH, LLC-BUTLER CLINIC (NPI 1174129357) is a healthcare organization registered as a health service in Butler, Indiana and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through December 30, 2026 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1174129357
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameEVERSIDE HEALTH, LLC-BUTLER CLINIC
Location Address306 DR. HAMPEL DRIVEButler, IN 46721-1119
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateDecember 11, 2020
Last NPPES UpdateSeptember 20, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2023
NPI 1174129357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
306 DR. HAMPEL DRIVE, Butler, IN 46721

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 15D2207848

Everside Health-Butler Clinic · Butler, IN
Active · expires Dec 30, 2026
CLIA Number15D2207848
Laboratory TypePhysician Office
Certificate Effective DateDecember 31, 2024
Certificate Expiration DateDecember 30, 2026
Laboratory DirectorBryon Thomas
Laboratory Phone(260) 366-4770
Laboratory LocationEverside Health-Butler Clinic306 Dr Hampel Drive, Butler, IN 46721
CLIA data matches this NPI record on: Address Name 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, Llc-Butler Clinic's NPI number?

The NPI number for Everside Health, Llc-Butler Clinic is 1174129357. It was assigned to this organization in the NPPES registry on December 11, 2020.

Where is Everside Health, Llc-Butler Clinic located?

Everside Health, Llc-Butler Clinic is located at 306 Dr. Hampel Drive, Butler, IN 46721. The listed phone number is (260) 366-4770.

What is Everside Health, Llc-Butler Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Everside Health, Llc-Butler Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2207848) is associated with this NPI, valid through December 30, 2026. 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, Llc-Butler Clinic was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.