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COUNTRYSIDE HEALTH, PLLC
NPI 1164695839
Nurse Practitioner - Family in Marion, MI

Active since April 02, 2008
107 E MAIN ST STE A, MARION, MI 49665(231) 743-6002(231) 743-6081 Get Directions Write a Review

NPPES record last updated: April 2, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Countryside Health, Pllc NPPES

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

COUNTRYSIDE HEALTH, PLLC (NPI 1164695839) is a healthcare organization registered as a family in Marion, Michigan and active in the NPI registry since April 2008. The organization lists Sue E Dunham, Owner, as its authorized official.

NPPES Registry Identity

NPI1164695839
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOUNTRYSIDE HEALTH, PLLC
Location Address107 E MAIN ST STE AMarion, MI 49665-9642
Mailing AddressPo Box 1024Cadillac, MI 49601-6024 · (231) 775-6076 · Fax (231) 775-0027
Phone(231) 743-6002
Fax(231) 743-6081
Organization SubpartNo
Authorized OfficialSue E DunhamOwner · (231) 743-6002
Enumeration DateApril 2, 2008
✔ NPI 1164695839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
107 E MAIN ST STE A, Marion, MI 49665
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Countryside Health, PLLC's NPI number?

The NPI number for Countryside Health, PLLC is 1164695839. It was assigned to this organization in the NPPES registry on April 2, 2008.

Where is Countryside Health, PLLC located?

Countryside Health, PLLC is located at 107 E Main St Ste A, Marion, MI 49665. The listed phone number is (231) 743-6002.

What is Countryside Health, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Countryside Health, PLLC was last updated on April 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.