Organization
EVERSIDE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL JOHNSON PATTON (DIRECTOR OF RISK MANAGEMENT)
(704) 936-5546
Entity
Organization
Contact information
Practice address
416 UNION ST, COVINGTON, IN 47932-1252
(888) 862-9525
Mailing address
1400 WEWATTA ST STE 350, DENVER, CO 80202-5553
(866) 808-6005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/07/2021
Last updated
07/28/2022
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