EVERSIDE HEALTH, LLC
NPI 1609232321
Clinic/Center - Primary Care in South Bend, IN

Q: What is Everside Health, LLC's NPI number?

The NPI number for Everside Health, LLC is 1609232321. It was assigned to this organization in the NPPES registry on January 11, 2016.

Q: 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.

Active since January 11, 2016CLIA 15D2125947 · Waiver

320 S DR MARTIN LUTHER KING JR BLVD STE 300, SOUTH BEND, IN 46601(574) 406-6376(574) 406-6376 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2022, Sep 17, 2021, Jan 11, 2016 (3 updates tracked since 2016).

On this page

About Everside Health, Llc NPPES

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

EVERSIDE HEALTH, LLC (NPI 1609232321) is a healthcare organization registered as a primary care in South Bend, Indiana and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through March 31, 2028 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1609232321

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameEVERSIDE HEALTH, LLC

Location Address320 S DR MARTIN LUTHER KING JR BLVD STE 300South Bend, IN 46601-2358

Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916

Phone(574) 406-6376

Fax(574) 406-6376

Organization SubpartNo

Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546

Enumeration DateJanuary 11, 2016

Last NPPES UpdateAugust 11, 20223 updates tracked since enumeration

NPPES CertifiedAugust 11, 2022

✔ NPI 1609232321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

320 S DR MARTIN LUTHER KING JR BLVD STE 300, South Bend, IN 46601

Open in Google Maps ↗

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 15D2125947

Everside Health, LLC Cobs Health Center · South Bend, IN

Active · expires Mar 31, 2028

CLIA Number15D2125947

Laboratory TypeChronic Mgt

Certificate Effective DateApril 1, 2026

Certificate Expiration DateMarch 31, 2028

Laboratory DirectorMichael Helms

Laboratory Phone(574) 406-6376

Laboratory LocationEverside Health, LLC Cobs Health Center320 Mlk Blvd Suite 300, South Bend, IN 46601

CLIA data matches this NPI record on: Name Phone

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.

MICHELLE I CERVIN -WAGNER DO

Family Medicine

320 S DR MARTIN LUTHER KING JR BLVD STE 300
SOUTH BEND, IN 46601

St. Joseph County (574) 406-6376

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 1609232321. It was assigned to this organization in the NPPES registry on January 11, 2016.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 320 S Dr Martin Luther King Jr Blvd Ste 300, South Bend, IN 46601. The listed phone number is (574) 406-6376.

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.

Does Everside Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2125947) is associated with this NPI, valid through March 31, 2028. 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 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 4 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.