Organization Active NPI

Marion Rural Health,Inc

  • Rural Health Clinic/Center
  • Silver Springs, FL
National Provider Identifier
1033160684
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MARION RURAL HEALTH,INC
Practice address
15932 E Highway 40
Silver Springs, FL 34488-5144
Phone
(352) 625-7777
Fax
(352) 625-1970
NPI assigned
May 16, 2006
Last updated
Oct 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Teresa Amerson Spogen
Title
Owner/Administer
Phone
(352) 625-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

15932 E Highway 40
Silver Springs, FL 34488-5144

Mailing address

15932 E Highway 40
Silver Springs, FL 34488-5144
Phone (352) 625-7777

Other identifiers 1

IdentifierTypeStateIssuer
660054900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060626000106 FL Part A Provider - Rural Health Clinic 7810894524 Practice locations: Silver SPGS, FL
O20090219000168 FL Part B Supplier - Clinic/Group Practice 7810894524 Receives reassigned benefits from 3 practitioners
Practice locations: Silver Springs, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033160684. Details of each certification follow.

Rural health clinic certification: CCN 103921

Legal name
MARION RURAL HEALTH,INC
Doing business as
FOREST FAMILY HEATLH
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 12, 1995
Last certification
Jan 27, 2025
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Oct 1, 1994 in FL
Enrollment address
15932E Highway 40
Silver SPGS, FL 34488-5144

National Provider Directory

National Provider Directory

Locations

15932 Sr 40
Silver Springs, FL 34488
Phone (352) 625-7777

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Elizabeth C Cherry Individual Corporate Director Aug 1, 2007
Teresa a Spogen Individual 5% Or Greater Direct Ownership InterestOwner Sep 1, 1995 100%
Corporate Director Sep 1, 1995
W-2 Managing Employee Feb 21, 2006
Richard Cherry Individual Corporate Director Aug 1, 2007

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1033160684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15932 E HIGHWAY 40",
            "city": "SILVER SPRINGS",
            "state": "FL",
            "postal_code": "344885144",
            "telephone_number": "352-625-7777",
            "fax_number": "352-625-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15932 E HIGHWAY 40",
            "city": "SILVER SPRINGS",
            "state": "FL",
            "postal_code": "344885144",
            "telephone_number": "352-625-7777",
            "fax_number": "352-625-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION RURAL HEALTH,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "SPOGEN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "AMERSON",
        "authorized_official_title_or_position": "OWNER/ADMINISTER",
        "authorized_official_telephone_number": "352-625-7777",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660054900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Springs, FL

Sources for this page

Verify at the official NPI Registry.