EVERSIDE HEALTH, LLC
NPI 1861890626
Clinic/Center - Primary Care in Bedford, IN

Active since December 10, 2014CLIA 15D2049323 · Waiver
1901 16TH ST UPPR LEVEL, UPPER LEVEL, BEDFORD, IN 47421(812) 675-0975(812) 675-0981 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2022, Sep 15, 2021 (2 updates tracked since 2021).

About Everside Health, Llc NPPES

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

EVERSIDE HEALTH, LLC (NPI 1861890626) is a healthcare organization registered as a primary care in Bedford, Indiana and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through November 1, 2026 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1861890626
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address1901 16TH ST UPPR LEVEL, UPPER LEVELBedford, IN 47421-2745
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Fax(812) 675-0981
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateDecember 10, 2014
Last NPPES UpdateAugust 12, 20222 updates tracked since enumeration
NPPES CertifiedAugust 12, 2022
NPI 1861890626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1901 16TH ST UPPR LEVEL, Bedford, IN 47421

Accepted 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 15D2049323

Everside Health - Bedford Clinic · Bedford, IN
Active · expires Nov 1, 2026
CLIA Number15D2049323
Laboratory TypePhysician Office
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorClifford Mitcheff
Laboratory Phone(812) 675-0975
Laboratory LocationEverside Health - Bedford Clinic1901 16th Street Upper Level, Bedford, IN 47421
CLIA data matches this NPI record on: Name Phone
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 1861890626. It was assigned to this organization in the NPPES registry on December 10, 2014.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 1901 16th St Uppr Level Upper Level, Bedford, IN 47421. The listed phone number is (812) 675-0975.

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 15D2049323) is associated with this NPI, valid through November 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Everside Health, LLC accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers 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 12, 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.