COUNTRYSIDE HEALTH CLNIC LLC
NPI 1447262373
Nurse Practitioner in Marion, MI

Q: What is Countryside Health Clnic LLC's NPI number?

The NPI number for Countryside Health Clnic LLC is 1447262373. It was assigned to this organization in the NPPES registry on August 12, 2006.

Q: What is Countryside Health Clnic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since August 12, 2006

107 E MAIN STREET SUITE A, MARION, MI 49665(231) 775-6076 Get Directions Write a Review

NPPES record last updated: December 28, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Countryside Health Clnic Llc NPPES

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

COUNTRYSIDE HEALTH CLNIC LLC (NPI 1447262373) is a healthcare organization registered as a nurse practitioner in Marion, Michigan and active in the NPI registry since August 2006. The organization lists Tricia A Mcgillis, President, as its authorized official.

NPPES Registry Identity

NPI1447262373

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameCOUNTRYSIDE HEALTH CLNIC LLC

Location Address107 E MAIN STREET SUITE AMarion, MI 49665

Mailing AddressPo Box 1024Cadillac, MI 49601-6024 · (231) 775-6076 · Fax (231) 775-0024

Phone(231) 775-6076

Organization SubpartNo

Authorized OfficialTricia A McgillisPresident · (231) 775-6076

Enumeration DateAugust 12, 2006

Last NPPES UpdateDecember 28, 2007

✔ NPI 1447262373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedPhysician AssistantTaxonomy 363A00000X

107 E MAIN STREET SUITE A, Marion, MI 49665

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Clnic LLC's NPI number?

The NPI number for Countryside Health Clnic LLC is 1447262373. It was assigned to this organization in the NPPES registry on August 12, 2006.

Where is Countryside Health Clnic LLC located?

Countryside Health Clnic LLC is located at 107 E Main Street Suite A, Marion, MI 49665. The listed phone number is (231) 775-6076.

What is Countryside Health Clnic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Countryside Health Clnic LLC was last updated on December 28, 2007. 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.