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Everside Health LLC

Clinic/Center in Moline, IL. Organization (NPI-2).

NPI number1639840473
StatusActive
Last updated in NPPESSep 17, 2026

Details

NPI
1639840473
Entity type
Organization (NPI-2)
Legal business name
Everside Health LLC
Organization subpart
No
Enumeration date
Sep 22, 2021
Certification date
Sep 17, 2026
Last updated
Sep 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

1901 52nd Ave
Moline, IL 61265-6381

Phone 866-808-6005

Mailing address

4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916

Authorized official

Jill Johnson Patton
Director Of Risk Management
7049365546

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