# COUNTRYSIDE HEALTH CENTER OPERATIONS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** COUNTRYSIDE HEALTH CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154481943
- **Authorized official:** MR. MICHAEL D TRYON (CFO)
- **Authorized official phone:** (785) 272-1535

## Contact information

- **Practice address:** 440 SE WOODLAND AVE, TOPEKA, KS 66607-2172
- **Practice address phone:** (785) 234-6147
- **Practice address fax:** (785) 232-8781
- **Mailing address:** 440 SE WOODLAND AVE, TOPEKA, KS 66607-2172
- **Mailing address phone:** (785) 272-1535
- **Mailing address fax:** (785) 440-0380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | KS | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 08/22/2020