Organization
COUNTRY DRIVE INN MEDICAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARICA REEVES APRN (OWNER/PROVIDER)
(740) 221-6550
Entity
Organization
Contact information
Practice address
10825 TOWNSHIP ROAD 49, MOUNT PERRY, OH 43760-9779
(740) 221-6550
Mailing address
10825 TOWNSHIP ROAD 49, MOUNT PERRY, OH 43760-9779
(740) 221-6550
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053044
—
OH
Enumeration date
11/15/2022
Last updated
12/15/2025
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