EVERSIDE HEALTH-DANVILLE LOGAN AVENUE
NPI 1215620893
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Danville, IL
About Everside Health-danville Logan Avenue NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERSIDE HEALTH-DANVILLE LOGAN AVENUE (NPI 1215620893) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Danville, Illinois and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through July 25, 2027 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 14D2286300
Everside Health Danville Logan Avenue · Danville, ILOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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-Danville Logan Avenue's NPI number?
The NPI number for Everside Health-Danville Logan Avenue is 1215620893. It was assigned to this organization in the NPPES registry on May 31, 2023.
Where is Everside Health-Danville Logan Avenue located?
Everside Health-Danville Logan Avenue is located at 603 N Logan Ave, Danville, IL 61832. The listed phone number is (704) 661-1380.
What is Everside Health-Danville Logan Avenue'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-Danville Logan Avenue hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2286300) is associated with this NPI, valid through July 25, 2027. 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-Danville Logan Avenue was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.