COUNTRY CLINICS PC NPI 1932287570

NPI Information

  • NPI: 1932287570
  • Provider Name: COUNTRY CLINICS, PC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: CEDAR RAPIDS MEDICAL CLINIC
  • CLIA Number: 28D0455414
  • Address: 106 S 3RD ST
    CEDAR RAPIDS, NE
    ZIP 68627
  • Phone: (308) 358-0615

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NPI Details

COUNTRY CLINICS, PC is a clinic center in Cedar Rapids, NE. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). COUNTRY CLINICS, PC NPI is 1932287570. The provider is registered as an organization entity type.
The provider Is Doing Business As Cedar Rapids Medical Clinic.

The provider's business location address is:

106 S 3RD ST
CEDAR RAPIDS, NE
ZIP 68627
Phone: (308) 358-0615
Fax: (308) 358-0617

The provider's authorized official is Lisa Lynne Kennedy .
The authorized official title is Office Manager and has the following contact phone number (402) 678-2232.

The CLIA number assigned to this NPI record is 28D0455414 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 10/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
110025570600MEDICAIDNEBRASKA
210025570700MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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