Organization · Type 2 NPI

Everside Health, LLC

Clinic/Center · West Bend, WI

NPI number 1356897714 Active

Practice location

705 Village Green Way, Suite 101
West Bend, WI 53090-2527

Call (262) 323-6849 Map

Fax (978) 620-2353

Mailing address

4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: 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).

4 other providers at this address

Other clinic/center providers in West Bend

Marathon Health, LLCClinic/Center West Bend, WI NPI 1891690657

See all in West Bend →

NPI record

NPI: 1356897714
Entity type: Organization (Type 2)
Issued: Aug 26, 2016
Last updated: Sep 17, 2026
Status: Active

Other names

<unavail>
Marathon Health, West Bend Wi · doing business as
Paladinawestbend · doing business as

Authorized official

Jill Johnson Patton
Director of Risk Management
(704) 936-5546

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1356897714

Everside Health, LLC's National Provider Identifier is 1356897714, issued on Aug 26, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in West Bend, WI. The record was last updated on Sep 17, 2026.