Organization
EVERSIDE HEALTH, LLC
Active
Other names
Activate Healthcare - Local 357 (Red)
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
51 N PECOS RD STE 110, LAS VEGAS, NV 89101-4819
(702) 437-0227
(702) 437-0228
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
07/27/2017
Last updated
08/11/2022
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