Organization
EVERSIDE HEALTH, LLC
Active
Other names
Local 440 Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA SPIVEY (CENTRAL SUPPORT SPECIALIST)
(317) 869-3164
Entity
Organization
Contact information
Practice address
8523 MADISON AVE STE A, INDIANAPOLIS, IN 46227-6117
(317) 879-5206
(317) 879-5262
Mailing address
4651 CHARLOTTE PARK DR STE 300, CHARLOTTE, NC 28217-1916
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2015
Last updated
06/27/2024
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