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COUNTRYSIDE ACUTE CARE LLC
NPI 1548974009
Nurse Practitioner - Family in South Vienna, OH

Active since January 10, 2023
MAIN ST, SOUTH VIENNA, OH 45369(937) 000-0000 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2023, Jan 10, 2023 (2 updates tracked since 2023).

About Countryside Acute Care Llc NPPES

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

COUNTRYSIDE ACUTE CARE LLC (NPI 1548974009) is a healthcare organization registered as a family in South Vienna, Ohio and active in the NPI registry since January 2023. The organization lists Derrick Marple, Owner, as its authorized official.

NPPES Registry Identity

NPI1548974009
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOUNTRYSIDE ACUTE CARE LLC
Location AddressMAIN STSouth Vienna, OH 45369
Mailing Address931 Wilson RdSouth Vienna, OH 45369-9747
Phone(937) 000-0000
Organization SubpartNo
Authorized OfficialDerrick MarpleOwner · (937) 605-9294
Enumeration DateJanuary 10, 2023
Last NPPES UpdateMay 10, 20232 updates tracked since enumeration
NPPES CertifiedMay 10, 2023
✔ NPI 1548974009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
MAIN ST, South Vienna, OH 45369
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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 Acute Care LLC's NPI number?

The NPI number for Countryside Acute Care LLC is 1548974009. It was assigned to this organization in the NPPES registry on January 10, 2023.

Where is Countryside Acute Care LLC located?

Countryside Acute Care LLC is located at Main St, South Vienna, OH 45369. The listed phone number is (937) 000-0000.

What is Countryside Acute Care LLC'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 Acute Care LLC was last updated on May 10, 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.