Countryside Health Center Operations, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

COUNTRYSIDE HEALTH CENTER OPERATIONS, LLC

Practice address

440 SE Woodland Ave
Topeka, KS 66607-2172

Phone

(785) 234-6147

Fax

(785) 232-8781

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael D Tryon

Title

Cfo

Phone

(785) 272-1535

Specialties & licenses 1

Addresses

Other names 1

• COUNTRYSIDE HEALTH CENTER Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James V Rider, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Winchester, KS
  • NPI 1215968870
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154481943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SE WOODLAND AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666072172",
            "telephone_number": "785-272-1535",
            "fax_number": "785-440-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SE WOODLAND AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666072172",
            "telephone_number": "785-234-6147",
            "fax_number": "785-232-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYSIDE HEALTH CENTER OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRYON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "785-272-1535",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COUNTRYSIDE HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Brett Lee Counselman, D.C.
• Country Club Dental PA
• Mary E Counts, AUD
• Caylin L Coursey, LMSW 13004
• Kelly Ann Courtney, P.T.
• Robin Janene Courtot
• Brandon Courville

• Nursing Facility/Intermediate Care Facility in Topeka, KS
• Providers in Topeka, KS by specialty
• Nursing Facility/Intermediate Care Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.