EVERSIDE HEALTH FORT WAYNE-W LUDWIG RD
NPI 1861880890
Clinic/Center - Primary Care in Fort Wayne, IN
About Everside Health Fort Wayne-w Ludwig Rd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERSIDE HEALTH FORT WAYNE-W LUDWIG RD (NPI 1861880890) is a healthcare organization registered as a primary care in Fort Wayne, Indiana and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through May 22, 2028 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 15D2078214
Everside Health Fort Wayne-W Ludwig Road · Fort Wayne, INOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Fort Wayne-W Ludwig Rd's NPI number?
The NPI number for Everside Health Fort Wayne-W Ludwig Rd is 1861880890. It was assigned to this organization in the NPPES registry on December 29, 2014.
Where is Everside Health Fort Wayne-W Ludwig Rd located?
Everside Health Fort Wayne-W Ludwig Rd is located at 2932 W Ludwig Rd, Fort Wayne, IN 46818. The listed phone number is (260) 755-1304.
What is Everside Health Fort Wayne-W Ludwig Rd's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Everside Health Fort Wayne-W Ludwig Rd hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D2078214) is associated with this NPI, valid through May 22, 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 Fort Wayne-W Ludwig Rd was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
