Countryside Acute Care Llc

LBN: Countryside Acute Care Llc
Countryside Acute Care Llc is an health care organization with primary practice located at Main St , South Vienna OH 45369. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Countryside Acute Care Llc can be contacted via phone (937) 000-0000, or through Marple, Derrick via phone (937) 605-9294.

Contact Information

Primary practice address
Main St South Vienna OH 45369
Phone: (937) 000-0000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Marple, Derrick FNP, RN, PARAMEDIC
Phone: (937) 605-9294

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1548974009
LBN Legal business name Countryside Acute Care Llc
DBA Doing business as
Authorized official Marple, Derrick FNP, RN, PARAMEDIC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2023
Last updated May 10th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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