Countryside Medical Clinic, Llc

LBN: Countryside Medical Clinic, Llc
Countryside Medical Clinic, Llc is an health care organization with primary practice located at 1959 200Th St , Red Oak IA 51566-3218. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Countryside Medical Clinic, Llc can be contacted via phone (712) 629-0040, or through Rines, Kimberly Lynn via phone (712) 629-0040.

Contact Information

Primary practice address
1959 200Th St Red Oak IA 51566-3218
Phone: (712) 629-0040
Fax: (712) 566-5049
Website:
Map and Directions
Authorized official contact:
Name: Rines, Kimberly Lynn ARNP
Phone: (712) 629-0040

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1396103685
LBN Legal business name Countryside Medical Clinic, Llc
DBA Doing business as
Authorized official Rines, Kimberly Lynn ARNP
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2016
Last updated Dec 12th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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