OrganizationActive
Everside Health-Lagrange Phs
NPI 1811600760 · Preventive Medicine/Occupational Environmental Medicine Physician · Lagrange, IN
Provider details
- NPI number
- 1811600760
- Entity type
- Organization
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jill Patton, Director of Risk Management(704) 936-5546
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
305 S 1150 E
Lagrange, IN 46761-9301
Phone: (260) 766-6190
Approximate (ZIP-level) locationGet directions
Mailing address
4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916
Registry dates
- Enumerated
- 2023-01-05
- Last updated
- 2023-01-05
- Certified
- 2023-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.