EVERSIDE HEALTH LLC-ROCKET WELLNESS CENTER
NPI 1235853839
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Spring Grove, PA

Active since September 28, 2022CLIA 39D2268460 · Waiver
220 W JACKSON ST, SPRING GROVE, PA 17362(717) 703-0990 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2023, Sep 28, 2022 (2 updates tracked since 2022).

About Everside Health Llc-rocket Wellness Center NPPES

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

EVERSIDE HEALTH LLC-ROCKET WELLNESS CENTER (NPI 1235853839) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Spring Grove, Pennsylvania and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through September 12, 2026 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1235853839
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameEVERSIDE HEALTH LLC-ROCKET WELLNESS CENTER
Location Address220 W JACKSON STSpring Grove, PA 17362-1114
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916 · (704) 936-5546
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateSeptember 28, 2022
Last NPPES UpdateMarch 17, 20232 updates tracked since enumeration
NPPES CertifiedMarch 17, 2023
NPI 1235853839 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.
220 W JACKSON ST, Spring Grove, PA 17362

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 39D2268460

Everside Health LLC - Rocket Wellness Center · Spring Grove, PA
Active · expires Sep 12, 2026
CLIA Number39D2268460
Laboratory TypeChronic Mgt Clinic
Certificate Effective DateSeptember 13, 2024
Certificate Expiration DateSeptember 12, 2026
Laboratory DirectorDr. Daniel K. Asihene
Laboratory Phone(704) 529-6161
Laboratory LocationEverside Health LLC - Rocket Wellness Center220 West Jackson Street, Spring Grove, PA 17362
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
220 W JACKSON ST
SPRING GROVE, PA 17362

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-Rocket Wellness Center's NPI number?

The NPI number for Everside Health Llc-Rocket Wellness Center is 1235853839. It was assigned to this organization in the NPPES registry on September 28, 2022.

Where is Everside Health Llc-Rocket Wellness Center located?

Everside Health Llc-Rocket Wellness Center is located at 220 W Jackson St, Spring Grove, PA 17362. The listed phone number is (717) 703-0990.

What is Everside Health Llc-Rocket Wellness Center'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 Llc-Rocket Wellness Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2268460) is associated with this NPI, valid through September 12, 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-Rocket Wellness Center was last updated on March 17, 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.