EVERSIDE HEALTH LLC WASHINGTON HEALTH CTR
NPI 1821742891
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Washington, MO

Active since February 09, 2022CLIA 26D2256996 · Waiver
1351 JEFFERSON ST STE 208, WASHINGTON, MO 63090(704) 661-1380 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Everside Health Llc Washington Health Ctr NPPES

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

EVERSIDE HEALTH LLC WASHINGTON HEALTH CTR (NPI 1821742891) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Washington, Missouri and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through March 29, 2028 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1821742891
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameEVERSIDE HEALTH LLC WASHINGTON HEALTH CTR
Location Address1351 JEFFERSON ST STE 208Washington, MO 63090-6449
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateFebruary 9, 2022
NPPES CertifiedFebruary 9, 2022
NPI 1821742891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
1351 JEFFERSON ST STE 208, Washington, MO 63090

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 26D2256996

Everside Health Washington Health Center · Washington, MO
Active · expires Mar 29, 2028
CLIA Number26D2256996
Laboratory TypeChronic Disease Mgt
Certificate Effective DateMarch 30, 2026
Certificate Expiration DateMarch 29, 2028
Laboratory DirectorMark Pelikan
Laboratory Phone(704) 529-6161
Laboratory LocationEverside Health Washington Health Center1351 Jefferson Street, Suite 208, Washington, MO 63090
CLIA data matches this NPI record on: Address
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 Washington Health Ctr's NPI number?

The NPI number for Everside Health LLC Washington Health Ctr is 1821742891. It was assigned to this organization in the NPPES registry on February 9, 2022.

Where is Everside Health LLC Washington Health Ctr located?

Everside Health LLC Washington Health Ctr is located at 1351 Jefferson St Ste 208, Washington, MO 63090. The listed phone number is (704) 661-1380.

What is Everside Health LLC Washington Health Ctr's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

Does Everside Health LLC Washington Health Ctr hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2256996) is associated with this NPI, valid through March 29, 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 Washington Health Ctr was last updated on February 9, 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.