Active NPI
Marion Rural Health,Inc
- Rural Health Clinic/Center
- Silver Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 660054900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
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
- Corporation
- Incorporated
- Oct 1, 1994 in FL
- Enrollment address
- 15932E Highway 40
Silver SPGS, FL 34488-5144
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Elizabeth C Cherry | Corporate Director | Aug 1, 2007 | |
| Teresa a Spogen | 5% Or Greater Direct Ownership Interest | Sep 1, 1995 | 100% |
| Corporate Director | Sep 1, 1995 | ||
| W-2 Managing Employee | Feb 21, 2006 | ||
| Richard Cherry | 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.
-
- Family Medicine Physician
- Silver Springs, FL
- NPI 1972253961
-
- Physician Assistant
- Silver Springs, FL
- NPI 1649154097
-
- Physician Assistant
- Silver Springs, FL
- NPI 1780494542
-
- Family Medicine Physician
- Ocala, FL
- NPI 1760461974
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.