# EVERSIDE HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marathon Health, Farmington MO - Maple Valley Dr
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083334783
- **Authorized official:** JEFF WELLS MD (CEO)
- **Authorized official phone:** (866) 434-3255

## Contact information

- **Practice address:** 755 MAPLE VALLEY DRIVE, FARMINGTON, MO 63640
- **Practice address phone:** (573) 586-4393
- **Mailing address:** PO BOX 1433, PORTSMOUTH, NH 03802-1433
- **Mailing address phone:** (866) 434-3255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/01/2022
- **Last updated:** 07/28/2026