COUNTRYSIDE HEALTH CLNIC LLC (NPI# 1447262373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447262373 |
| Entity Type | Organization |
| Organization Name | COUNTRYSIDE HEALTH CLNIC LLC |
| Practice Address |
107 E Main Street Suite A Marion MI 49665 |
| Mailing Address |
Po Box 1024 Cadillac MI 49601-6024 |
| Practice Telephone | 2317756076 |
| Mailing Telephone | 2317756076 |
| Mailing Fax Number | 2317750024 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-12-28 |
| Authorized Official Name | TRICIA A MCGILLIS (PRESIDENT) |
| Authorized Official Telephone | 2317756076 |
| Authorized Official Credential | PAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
107 E MAIN STREET SUITE A |
| City | MARION |
| State | MI |
| Zip Code | 49665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144622846 | Home Helpers Companion Agency Inc | In Home Supportive Care | 208 E Main, Marion, MI 49665 | 2014-09-24 |
| 1699878652 | Marion Pharmacy Inc | Pharmacy | 103 East Main, Marion, MI 49665 | 2006-09-06 |
| 1578817417 | Home Helpers Companion Agency,llc | Home Health | 208 E. Main St., Marion, MI 49665 | 2012-10-30 |
| 1619989530 | Tricia Ann Mcgillis | Physician Assistant | 100 W. Main St., Marion, MI 49665 | 2006-08-12 |
| 1811437551 | Matthew Schut | Behavior Technician | 205 S Blevins, Marion, MI 49665-7929 | 2017-02-28 |
| 1326466004 | Megan Marie Vandepol | Speech-Language Pathologist | 8733 23 Mile Rd, Marion, MI 49665-8010 | 2014-03-31 |
| 1851568745 | Laurie Zoyioupoulos | Midwife | 8295 18 Mile Rd, Marion, MI 49665-8084 | 2008-05-11 |
| 1053651968 | Lori Jean Hesselink | Registered Nurse | 23563 100th Ave, Marion, MI 49665-8118 | 2013-03-01 |
| 1982830246 | Jennifer Lynn Williams | Licensed Practical Nurse | 22711 60th Ave, Marion, MI 49665-8195 | 2009-06-01 |
| 1003186750 | Sally Ann Hopkins | Contractor | 13093 30th Ave, Marion, MI 49665-8401 | 2012-01-11 |
| Find all providers in zip 49665 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
| 1669962098 | Brittani Danelle Atwood | Nurse Practitioner | 990 S. Prospect Street, Suite 2, Marion, OH 43302-6283 | 2018-05-10 |
| 1538658521 | Schinitra Ti'onette Swinney | Nurse Practitioner | 1328 N. Main Street, Marion, SC 29571 | 2018-05-04 |
| 1972016327 | Kaelen Nothnagel | Nurse Practitioner | 1000 Mckinley Park Dr Ste Mri, Marion, OH 43302-6399 | 2017-11-08 |
| 1851824767 | Shaketia Barnes | Nurse Practitioner | 717 Lena Dr, Marion, AR 72364-9002 | 2017-04-07 |
| 1487995858 | Melissa Ann Wood-heller | Nurse Practitioner | 1103 N Baldwin Avenue, Marion, IN 46952-2600 | 2013-03-11 |
| 1790042455 | Courtney Paden Morris Gardner | Nurse Practitioner | 387 Us 70 W Ste 1, Marion, NC 28752-6202 | 2012-04-19 |
| 1770862450 | Rush Care, Inc. | Nurse Practitioner | 5334 Dale Drive, Marion, MS 39342 | 2011-08-11 |
| 1134438286 | Lisa M Wallace | Nurse Practitioner | 831 N Theatre Drive, Marion, IN 46952-1701 | 2010-10-06 |
| 1871669275 | Deanna Leah Maclaren | Nurse Practitioner | 6212 Hwy 221 South, Marion, NC 28752 | 2006-11-28 |
| Find all providers in MARION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.