Countryside Medical Clinic, LLC

NPI #1396103685 in Red Oak, Iowa

Provider Information

NPI Number
1396103685
Entity Type
Organization
Organization Name
Countryside Medical Clinic, LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Feb 2, 2016
Last Updated
Dec 12, 2018

Practice Location

Address
1959 200TH ST
State
Iowa
ZIP Code
51566-3218
Phone
(712) 629-0040

Authorized Official

Name
MS. KIMBERLY LYNN RINES, ARNP
Title
NURSE PRACTITIONER
Phone
(712) 629-0040

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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