COUNTRYSIDE MEDICAL CLINIC, LLC
NPI 1396103685
Clinic/Center - Primary Care in Red Oak, IA

Q: What is Countryside Medical Clinic, LLC's NPI number?

The NPI number for Countryside Medical Clinic, LLC is 1396103685. It was assigned to this organization in the NPPES registry on February 2, 2016.

Q: What is Countryside Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since February 02, 2016

1959 200TH ST, RED OAK, IA 51566(712) 629-0040(712) 566-5049 Get Directions Write a Review

NPPES record last updated: December 12, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2018, Feb 2, 2016 (2 updates tracked since 2016).

On this page

About Countryside Medical Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRYSIDE MEDICAL CLINIC, LLC (NPI 1396103685) is a healthcare organization registered as a primary care in Red Oak, Iowa and active in the NPI registry since February 2016. The organization lists Kimberly Lynn Rines, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1396103685

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameCOUNTRYSIDE MEDICAL CLINIC, LLC

Location Address1959 200TH STRed Oak, IA 51566-3218

Mailing Address1959 200th StRed Oak, IA 51566-3218 · (712) 629-0040 · Fax (712) 566-5049

Phone(712) 629-0040

Fax(712) 566-5049

Organization SubpartNo

Authorized OfficialKimberly Lynn RinesNurse Practitioner · (712) 629-0040

Enumeration DateFebruary 2, 2016

Last NPPES UpdateDecember 12, 20182 updates tracked since enumeration

✔ NPI 1396103685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

1959 200TH ST, Red Oak, IA 51566

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Countryside Medical Clinic, LLC's NPI number?

The NPI number for Countryside Medical Clinic, LLC is 1396103685. It was assigned to this organization in the NPPES registry on February 2, 2016.

Where is Countryside Medical Clinic, LLC located?

Countryside Medical Clinic, LLC is located at 1959 200th St, Red Oak, IA 51566. The listed phone number is (712) 629-0040.

What is Countryside Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Countryside Medical Clinic, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Countryside Medical Clinic, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Countryside Medical Clinic, LLC was last updated on December 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.