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EVERSIDE HEALTH, LLC
NPI 1861932055
Clinic/Center - Primary Care in Martinsville, IN

Active since March 07, 2017CLIA 15D2132295 · Waiver
909 S MAIN ST, MARTINSVILLE, IN 46151(765) 343-7040(765) 349-4297 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 12, 2022, Sep 15, 2021, Nov 7, 2018 (3 updates tracked since 2018).

About Everside Health, Llc NPPES

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

EVERSIDE HEALTH, LLC (NPI 1861932055) is a healthcare organization registered as a primary care in Martinsville, Indiana and active in the NPI registry since March 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

NPI1861932055
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address909 S MAIN STMartinsville, IN 46151-2400
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone(765) 343-7040
Fax(765) 349-4297
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateMarch 7, 2017
Last NPPES UpdateAugust 12, 20223 updates tracked since enumeration
NPPES CertifiedAugust 12, 2022
✔ NPI 1861932055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
909 S MAIN ST, Martinsville, IN 46151
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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 15D2132295

Everside Health - Martinsville · Martinsville, IN
Active · expires Jun 14, 2027
CLIA Number15D2132295
Laboratory TypePhysician Office
Certificate Effective DateJune 15, 2025
Certificate Expiration DateJune 14, 2027
Laboratory DirectorClifford Mitcheff
Laboratory Phone(765) 343-7040
Laboratory LocationEverside Health - Martinsville909 South Main Street, Martinsville, IN 46151
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is EVERSIDE HEALTH, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1861932055, enumerated as an "organization" on March 07, 2017.

Where is the provider located?

The provider is located at 909 S MAIN ST MARTINSVILLE, IN 46151 and the phone number is (765) 343-7040.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.