EVERGREEN HEALTH SERVICES
NPI 1356390918
Clinic/Center - Primary Care in Buffalo, NY

Q: What is Ehs, Inc.'s NPI number?

The NPI number for Ehs, Inc. is 1356390918. It was assigned to this organization in the NPPES registry on May 9, 2006. The provider is doing business as Evergreen Health Services.

Q: What is Ehs, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Q: When was this NPI record last updated?

The NPPES record for Ehs, Inc. was last updated on November 29, 2022. 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.

Active since May 09, 2006CLIA Certified · 2 labs

206 S ELMWOOD AVE, BUFFALO, NY 14201(716) 847-0212(716) 847-0418 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 29, 2022, Jul 18, 2019 (2 updates tracked since 2019).

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About Evergreen Health Services NPPES

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

EVERGREEN HEALTH SERVICES (NPI 1356390918) is a healthcare organization registered as a primary care in Buffalo, New York and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Jessica Anne Stack, Avp Of Revenue Cycle Mgmt, as its authorized official.

NPPES Registry Identity

NPI1356390918

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameEHS, INC.

Location Address206 S ELMWOOD AVEBuffalo, NY 14201-2398

Mailing Address206 S Elmwood AveBuffalo, NY 14201-2398 · (716) 847-0212 · Fax (716) 847-0418

Phone(716) 847-0212

Fax(716) 847-0418

Organization SubpartNo

Authorized OfficialJessica Anne StackAvp Of Revenue Cycle Mgmt · (716) 880-7399

Enumeration DateMay 9, 2006

Last NPPES UpdateNovember 29, 20222 updates tracked since enumeration

NPPES CertifiedNovember 29, 2022

✔ NPI 1356390918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in NY · 01711366

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 01218524 (NY)

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X

Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X

206 S ELMWOOD AVE, Buffalo, NY 14201

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Other Names 1

Doing Business AsEvergreen Health Services

Secondary Practice Locations 3

Location 13297 Bailey AveBuffalo, NY 14215-1139 · Phone (716) 847-2441

Location 2800 Hertel Ave Ste 100Buffalo, NY 14207-1906 · Phone (716) 847-2441

Location 37 Community DrCheektowaga, NY 14225-2523 · Phone (716) 847-2441

Other Identifiers 2

Medicaid02995357NY

Medicaid0F332484NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 33D0953352

Evergreen Health Services Inc · Buffalo, NY

Active · expires Mar 26, 2027

CLIA Number33D0953352

Laboratory TypeCommunity Clinic

Certificate Effective DateNovember 21, 2002

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Fatai A. Gbadamosi

Laboratory Phone(716) 847-2441

Laboratory LocationEvergreen Health Services Inc206 S Elmwood Avenue, Buffalo, NY 14201

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D0881570

Evergreen Health - 800 Hertel · Buffalo, NY

Active · expires Mar 26, 2027

CLIA Number33D0881570

Laboratory TypeCommunity Clinic

Certificate Effective DateMay 18, 2026

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Fatai A. Gbadamosi

Laboratory Phone(716) 874-2441

Laboratory LocationEvergreen Health - 800 Hertel800 Hertel Avenue, Buffalo, NY 14207

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

ELIUD KIPRUTO KOSGEI ANP

Nurse Practitioner (Adult Health)