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EVERSIDE HEALTH, LLC
NPI 1548658651
Clinic/Center - Primary Care in South Bend, IN

Active since December 26, 2014
611 LINCOLN WAY E, SOUTH BEND, IN 46601(574) 855-1090(574) 855-4660 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2022, Sep 15, 2021 (2 updates tracked since 2021).

About Everside Health, Llc NPPES

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

EVERSIDE HEALTH, LLC (NPI 1548658651) is a healthcare organization registered as a primary care in South Bend, Indiana and active in the NPI registry since December 2014. The organization lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1548658651
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address611 LINCOLN WAY ESouth Bend, IN 46601-3220
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone(574) 855-1090
Fax(574) 855-4660
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateDecember 26, 2014
Last NPPES UpdateAugust 11, 20222 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1548658651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
611 LINCOLN WAY E, South Bend, IN 46601
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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.

ALEXANDRIA BURTON LSW
Social Worker
611 LINCOLN WAY E
SOUTH BEND, IN 46601
St. Joseph County (574) 360-4066
ELYSIA N TIDEY
Counselor
611 LINCOLN WAY E
SOUTH BEND, IN 46601
St. Joseph County (574) 360-4066
MRS. RACHAEL MARIE HAMMETT PC
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
St. Joseph County (574) 232-2255
LISA BALDERAS MA
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
St. Joseph County (574) 232-2255
WENDY E SARVARI MS
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
St. Joseph County (574) 232-2255
MICHELLE LYNN COUTO
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
St. Joseph County (574) 360-4066
CAMIE TYLER MSW
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
St. Joseph County (574) 232-2255
KARISSA D RYAN LMHC
Counselor (Mental Health)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
St. Joseph County (574) 360-4066

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's NPI number?

The NPI number for Everside Health, LLC is 1548658651. It was assigned to this organization in the NPPES registry on December 26, 2014.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 611 Lincoln Way E, South Bend, IN 46601. The listed phone number is (574) 855-1090.

What is Everside Health, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Everside Health, LLC was last updated on August 11, 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.