COUNTRYSIDE MEDICAL CLINIC, LLC is a primary care clinic center in Red Oak, IA. COUNTRYSIDE MEDICAL CLINIC, LLC NPI is 1396103685. The provider is registered as an organization entity type.
The provider's business location address is:
1959 200TH ST
RED OAK, IA
ZIP 51566-218
Phone: (712) 629-0040
Fax: (712) 566-5049
The provider's authorized official is Kimberly Lynn Rines .
The authorized official title is Nurse Practitioner and has the following contact phone number (712) 629-0040.
The CLIA number assigned to this NPI record is 16D2135938 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/2/2016 and was last updated on 12/12/2018.