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EVERSIDE HEALTH, LLC
NPI 1689048787
Clinic/Center - Primary Care in Van Wert, OH

Active since November 30, 2015CLIA 36D2126666 · Waiver
303 TOWN CENTER BLVD, VAN WERT, OH 45891(419) 232-2554(419) 232-2581 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2022, Nov 30, 2015 (2 updates tracked since 2015).

About Everside Health, Llc NPPES

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

EVERSIDE HEALTH, LLC (NPI 1689048787) is a healthcare organization registered as a primary care in Van Wert, Ohio and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through March 1, 2027 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1689048787
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address303 TOWN CENTER BLVDVan Wert, OH 45891-9087
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone(419) 232-2554
Fax(419) 232-2581
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateNovember 30, 2015
Last NPPES UpdateAugust 11, 20222 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1689048787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
303 TOWN CENTER BLVD, Van Wert, OH 45891
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 36D2126666

Everside Health Cooper Farms Van Wert Clinic · Van Wert, OH
Active · expires Mar 1, 2027
CLIA Number36D2126666
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2025
Certificate Expiration DateMarch 1, 2027
Laboratory DirectorKalyan Aluri
Laboratory Phone(704) 529-6161
Laboratory LocationEverside Health Cooper Farms Van Wert Clinic315 Towne Center Blvd, Van Wert, OH 45891
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 1689048787. It was assigned to this organization in the NPPES registry on November 30, 2015.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 303 Town Center Blvd, Van Wert, OH 45891. The listed phone number is (419) 232-2554.

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 36D2126666) is associated with this NPI, valid through March 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Everside Health, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Everside Health, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.