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KOUNTRY HEALTHCARE LLC
NPI 1053002303
Clinic/Center - Primary Care in Greencastle, IN

Active since May 17, 2023CLIA 15D2268774 · Waiver
833 INDIANAPOLIS RD STE B, GREENCASTLE, IN 46135(765) 630-3196(765) 630-6078 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kountry Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOUNTRY HEALTHCARE LLC (NPI 1053002303) is a healthcare organization registered as a primary care in Greencastle, Indiana and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through September 15, 2026 and lists Jennifer Sheffler, Owner, as its authorized official.

NPPES Registry Identity

NPI1053002303
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKOUNTRY HEALTHCARE LLC
Location Address833 INDIANAPOLIS RD STE BGreencastle, IN 46135-1591
Mailing Address833 Indianapolis Rd Ste BGreencastle, IN 46135-1591 · (765) 630-3196 · Fax (765) 630-6078
Phone(765) 630-3196
Fax(765) 630-6078
Organization SubpartNo
Authorized OfficialJennifer ShefflerOwner · (765) 630-3196
Enumeration DateMay 17, 2023
NPPES CertifiedMay 17, 2023
✔ NPI 1053002303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
833 INDIANAPOLIS RD STE B, Greencastle, IN 46135
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2268774

Kountry Healthcare · Greencastle, IN
Active · expires Sep 15, 2026
CLIA Number15D2268774
Laboratory TypePhysician Office
Certificate Effective DateSeptember 16, 2024
Certificate Expiration DateSeptember 15, 2026
Laboratory DirectorJennifer D. Sheffler
Laboratory Phone(765) 301-3196
Laboratory LocationKountry Healthcare833 Indianapolis Rd, Suite B, Greencastle, IN 46135
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KETAKLARITY
Clinic/Center (Infusion Therapy)
833 INDIANAPOLIS RD STE B
GREENCASTLE, IN 46135
Putnam County (765) 630-8315

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kountry Healthcare LLC's NPI number?

The NPI number for Kountry Healthcare LLC is 1053002303. It was assigned to this organization in the NPPES registry on May 17, 2023.

Where is Kountry Healthcare LLC located?

Kountry Healthcare LLC is located at 833 Indianapolis Rd Ste B, Greencastle, IN 46135. The listed phone number is (765) 630-3196.

What is Kountry Healthcare LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Kountry Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2268774) is associated with this NPI, valid through September 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kountry Healthcare LLC was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.