Countryside Acute Care LLC
Countryside Acute Care LLC is a Family Medicine Physician in South Vienna, Ohio. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Partly verified
Main StSouth Vienna, OH 45369
Phone: (937) 000-0000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X |
| Pediatrics Physician | Taxonomy 208000000X |
Record details
| NPI number | 1548974009 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Derrick Marple — Owner · (937) 605-9294 |
| NPI enumerated | January 10, 2023 |
| Last updated in NPPES | May 10, 2023 |
| Certification date | May 10, 2023 |
| Mailing address | 931 Wilson Rd, South Vienna, OH 45369-9747 |
Other providers in South Vienna
-
Shahida A Khan, MD
8490 E National Rd, South Vienna, OH 45369-9707 · (937) 568-4044
-
Shahida a Khan MD
8490 E National Rd, South Vienna, OH 45369-9707 · (937) 568-4044