1. Home
  2. Directory
  3. Indiana
  4. Angola
  5. Clinic Center
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EVERSIDE HEALTH, LLC
NPI 1962008144
Clinic/Center in Angola, IN

Active since December 11, 2020CLIA 15D2207850 · Waiver
511 N WAYNE ST, ANGOLA, IN 46703(260) 305-2622 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 17, 2026, Mar 20, 2026, Aug 12, 2022 and 2 more (5 updates tracked since 2020).

About Everside Health, Llc NPPES

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

EVERSIDE HEALTH, LLC (NPI 1962008144), doing business as Marathon Health, Angola In, is a healthcare organization registered as a clinic/center in Angola, Indiana and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through December 30, 2026 and lists Karla Spivey, Central Support, as its authorized official.

NPPES Registry Identity

NPI1962008144
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address511 N WAYNE STAngola, IN 46703-1001
Mailing AddressPo Box 1433Portsmouth, NH 03802-1433
Phone(260) 305-2622
Organization SubpartNo
Authorized OfficialKarla SpiveyCentral Support · (866) 434-3255
Enumeration DateDecember 11, 2020
Last NPPES UpdateSeptember 17, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1962008144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
511 N WAYNE ST, Angola, IN 46703
Open in Google Maps ↗

Other Names 1

Doing Business AsMarathon Health, Angola In

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 15D2207850

Everside Health-Angola Clinic · Angola, IN
Active · expires Dec 30, 2026
CLIA Number15D2207850
Laboratory TypePhysician Office
Certificate Effective DateDecember 31, 2024
Certificate Expiration DateDecember 30, 2026
Laboratory DirectorTonya Grimme
Laboratory Phone(260) 305-2622
Laboratory LocationEverside Health-Angola Clinic511 N Wayne St, Angola, IN 46703
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARATHON HEALTH, LLC
Clinic/Center
511 N WAYNE ST
ANGOLA, IN 46703
Steuben County (260) 305-2622

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 1962008144. It was assigned to this organization in the NPPES registry on December 11, 2020. The provider is doing business as Marathon Health, Angola IN.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 511 N Wayne St, Angola, IN 46703. The listed phone number is (260) 305-2622.

What is Everside Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Everside Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2207850) is associated with this NPI, valid through December 30, 2026. 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 September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.