| Countryside Acute Care Llc | |
|
Main St South Vienna OH 45369 | |
| (937) 000-0000 | |
| Not Available |
| Full Name | Countryside Acute Care Llc |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | Main St, South Vienna, Ohio |
| Authorized Official Name and Position | Derrick Marple (OWNER) |
| Authorized Official Contact | 9376059294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Countryside Acute Care Llc 931 Wilson Rd South Vienna OH 45369-9747 Ph: () - | Countryside Acute Care Llc Main St South Vienna OH 45369 Ph: (937) 000-0000 |
| NPI Number | 1548974009 |
|---|---|
| Provider Enumeration Date | 01/10/2023 |
| Last Update Date | 05/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548974009 | NPI | - | NPPES |
Shahida A Khan Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8490 E National Rd, South Vienna, OH 45369 Phone: 937-568-4044 |