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EVERSIDE HEALTH, LLC
NPI 1649815051
Clinic/Center - Health Service in Terre Haute, IN

Active since November 08, 2019CLIA 15D2176036 · Waiver
1202 E CANVASBACK DR, TERRE HAUTE, IN 47802(812) 514-5429 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 11, 2022, Sep 15, 2021, Nov 8, 2019 (3 updates tracked since 2019).

About Everside Health, Llc NPPES

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

EVERSIDE HEALTH, LLC (NPI 1649815051) is a healthcare organization registered as a health service in Terre Haute, Indiana and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through December 5, 2027 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1649815051
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address1202 E CANVASBACK DRTerre Haute, IN 47802-5305
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone(812) 514-5429
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateNovember 8, 2019
Last NPPES UpdateAugust 11, 20223 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1649815051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
1202 E CANVASBACK DR, Terre Haute, IN 47802
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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 15D2176036

Everside Health - Terre Haute Clinic · Terre Haute, IN
Active · expires Dec 5, 2027
CLIA Number15D2176036
Laboratory TypePhysician Office
Certificate Effective DateDecember 6, 2025
Certificate Expiration DateDecember 5, 2027
Laboratory DirectorKenneth Sowinski
Laboratory Phone(812) 514-5429
Laboratory LocationEverside Health - Terre Haute Clinic1202 East Canvasback Dr, Terre Haute, IN 47802
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

NORMA H SCHMITZ MD
Dermatology
1202 E CANVASBACK DR
TERRE HAUTE, IN 47802
Vigo County (812) 299-3376
KELLI ANNE MICHAEL NP
Nurse Practitioner (Family)
1202 E CANVASBACK DR
TERRE HAUTE, IN 47802
Vigo County (812) 514-5429
MRS. ANDREA MICHELLE BREWER NP
Nurse Practitioner
1202 E CANVASBACK DR
TERRE HAUTE, IN 47802
Vigo County (812) 514-5429

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 1649815051. It was assigned to this organization in the NPPES registry on November 8, 2019.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 1202 E Canvasback Dr, Terre Haute, IN 47802. The listed phone number is (812) 514-5429.

What is Everside Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Everside Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2176036) is associated with this NPI, valid through December 5, 2027. 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.