OrganizationActive
Everside Health, LLC
NPI 1356947535 · Health Service Clinic/Center · Lagrange, IN
Provider details
- NPI number
- 1356947535
- Entity type
- Organization
- Primary specialty
- Health Service 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
2120 N Detroit St
Lagrange, IN 46761-1147
Phone: (260) 766-6190
Approximate (ZIP-level) locationGet directions
Mailing address
4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916
Registry dates
- Enumerated
- 2020-12-11
- Last updated
- 2022-08-11
- Certified
- 2022-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.