Organization · Type 2 NPI

Everside Health, LLC

Clinic/Center · Las Vegas, NV

NPI number 1407481997 Active

Practice location

911 N Buffalo Dr Unit 113
Las Vegas, NV 89128-0380

Call (702) 960-4415 Map

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).

8 other providers at this address

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NPI record

NPI: 1407481997
Entity type: Organization (Type 2)
Issued: Mar 5, 2020
Last updated: Aug 11, 2022
Status: Active

Other names

<unavail>
Activate Healthcare · doing business as
Activate Healthcare · 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.

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About NPI 1407481997

Everside Health, LLC's National Provider Identifier is 1407481997, issued on Mar 5, 2020. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Las Vegas, NV. The record was last updated on Aug 11, 2022.