TRI-COUNTY RURAL HEALTH SERVICES
NPI 1417862806
Clinic/Center - Primary Care in Sand Lake, MI
About Tri-county Rural Health Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRI-COUNTY RURAL HEALTH SERVICES (NPI 1417862806) is a healthcare organization registered as a primary care in Sand Lake, Michigan and active in the NPI registry since August 2026. The organization holds a CLIA Waiver certificate valid through September 21, 2028 and lists Jerod Gardner, Physician Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 23D2351118
Tri County Rural Health Services · Sand Lake, MIFrequently 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 Tri-County Rural Health Services's NPI number?
The NPI number for Tri-County Rural Health Services is 1417862806. It was assigned to this organization in the NPPES registry on August 18, 2026.
Where is Tri-County Rural Health Services located?
Tri-County Rural Health Services is located at 7 W Oak St NE, Sand Lake, MI 49343. The listed phone number is (616) 439-0222.
What is Tri-County Rural Health Services's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Tri-County Rural Health Services hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2351118) is associated with this NPI, valid through September 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Tri-County Rural Health Services was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Tri-County Rural Health Services · NPI 1417862806
Primary Care organization in Sand Lake, Michigan. Organization record, active in the CMS NPPES registry since August 18, 2026.
## Identity
- **NPI:** 1417862806 (Entity type: Organization)
- **Enumerated:** August 18, 2026
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Jerod Gardner, PHYSICIAN OWNER
## Practice location
- **Address:** 7 W OAK ST NE, Sand Lake, MI 49343
- **Phone:** (616) 439-0222
## Record status
- **NPPES last updated:** August 18, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417862806) · Data from the CMS NPPES public registry.