EVERSIDE HEALTH, LLC
NPI 1710407432
Clinic/Center - Health Service in Salem, IN

Active since June 23, 2017CLIA 15D2132302 · Waiver
201 JEANS DR, SALEM, IN 47167(812) 883-9693(812) 883-9439 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, Jun 23, 2017 (3 updates tracked since 2017).

About Everside Health, Llc NPPES

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

EVERSIDE HEALTH, LLC (NPI 1710407432) is a healthcare organization registered as a health service in Salem, Indiana and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through June 14, 2027 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1710407432
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address201 JEANS DRSalem, IN 47167-9200
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Fax(812) 883-9439
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateJune 23, 2017
Last NPPES UpdateAugust 11, 20223 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
NPI 1710407432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
201 JEANS DR, Salem, IN 47167

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 15D2132302

Everside Health-Salem Clinic · Salem, IN
Active · expires Jun 14, 2027
CLIA Number15D2132302
Laboratory TypePhysician Office
Certificate Effective DateJune 15, 2025
Certificate Expiration DateJune 14, 2027
Laboratory DirectorDaniel Walters
Laboratory Phone(812) 883-9396
Laboratory LocationEverside Health-Salem Clinic201 Jeans Drive, Salem, IN 47167
CLIA data matches this NPI record on: Address Name
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.

Marriage & Family Therapist
201 JEANS DR
SALEM, IN 47167
Nurse Practitioner
201 JEANS DR
SALEM, IN 47167
Counselor (Mental Health)
201 JEANS DR
SALEM, IN 47167

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 1710407432. It was assigned to this organization in the NPPES registry on June 23, 2017.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 201 Jeans Dr, Salem, IN 47167. The listed phone number is (812) 883-9693.

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 15D2132302) is associated with this NPI, valid through June 14, 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 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.