OrganizationActive
Everside Health, LLC
NPI 1093360059 · Primary Care Clinic/Center · Elkhart, IN
Provider details
- NPI number
- 1093360059
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jill Patton, Director of Risk Management(704) 936-5546
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1621 W Beardsley Ave
Elkhart, IN 46514-1825
Phone: (773) 697-3144
Approximate (ZIP-level) locationGet directions
Mailing address
4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916
Other names (DBA / former)
- Doing business as
- Activate Healthcare - Waste Away Group
- Doing business as
- Activate Healthcare - Waste Away Group
Registry dates
- Enumerated
- 2019-08-07
- Last updated
- 2022-07-28
- Certified
- 2022-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.