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

NPI Status: Active since September 28, 2022

Contact Information

220 W JACKSON ST
SPRING GROVE, PA
ZIP 17362
Phone: (717) 703-0990

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  • Organization
  • Preventive Medicine
  • Preventive Medicine/Occupational Environ...
  • CLIA Number: 39D2268460
  • CLIA Cert. Type: Other - CHRONIC MGT CLINIC
  • CLIA Exp. Date: 09-12-2026

About EVERSIDE HEALTH LLC-ROCKET WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for Everside Health Llc-rocket Wellness Center, a provider established in Spring Grove, Pennsylvania operating as a Preventive Medicine, focusing in preventive medicine/occupational environmental medicine . The healthcare provider is registered in the NPI registry with number 1235853839 assigned on September 2022. The practitioner's primary taxonomy code is 2083P0500X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jill Johnson Patton (Director Of Risk Management)

NPI
1235853839
Provider Name
EVERSIDE HEALTH LLC-ROCKET WELLNESS CENTER
Entity Type
Organization
Location Address
220 W JACKSON ST SPRING GROVE, PA 17362
Location Phone
(717) 703-0990
Mailing Address
4651 CHARLOTTE PARK DR STE 300 CHARLOTTE, NC 28217
Mailing Phone
(704) 936-5546
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-28-2022
Last Update Date
03-17-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preventive Medicine Preventive Medicine/Occupational Environmental Medicine

Taxonomy Code
2083P0500X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JILL JOHNSON PATTON

Authorized Official Title
DIRECTOR OF RISK MANAGEMENT
Authorized Official Phone
(704) 936-5546

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D2268460
Facility Type
Other - CHRONIC MGT CLINIC
Certificate Effective Date
September 13, 2024
Certificate Expiration Date
September 12, 2026
Laboratory Director
DR. DANIEL K. ASIHENE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Everside Health Llc-rocket Wellness Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1235853839, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 8 → 16 → 7 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 6 + 5 + 1 + 6 + 5 + 6 + 8 + 6 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1235853839.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physician Assistant
220 W JACKSON ST
SPRING GROVE, PA 17362

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235853839, enumerated as an "organization" on September 28, 2022.

The provider is located at 220 W JACKSON ST SPRING GROVE, PA 17362 and the phone number is (717) 703-0990.

Preventive Medicine with taxonomy code 2083P0500X and a focus in Preventive Medicine/Occupational Environmental Medicine.