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Organization

EVERSIDE HEALTH, LLC

Active
Parent organization
DAVITA HEALTHCARE PARTNERS, INC
Other names
Caleb Bugg Paladina Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
DAVITA HEALTHCARE PARTNERS, INC
Authorized official
JILL JOHNSON PATTON (DIRECTOR OF RISK MANAGEMENT)
(704) 936-5546
Entity
Organization

Contact information

Practice address
W2940 COUNTY ROAD PP, SHEBOYGAN FALLS, WI 53085-2528
(920) 234-3065
Mailing address
4651 CHARLOTTE PARK DR STE 300, CHARLOTTE, NC 28217-1916

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3561520
WI

Other

Enumeration date
02/03/2017
Last updated
08/12/2022
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