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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since February 02, 2016
909 E 2ND AVE STE G, INDIANOLA, IA 50125(712) 370-3910(888) 573-6009 Get Directions Write a Review

NPPES record last updated: August 22, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 22, 2026, Dec 12, 2018, Feb 2, 2016 (3 updates tracked since 2016).

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 Indianola, Iowa and active in the NPI registry since February 2016. The organization lists Kimberly Lynn Rines, Owner/np, as its authorized official.

NPPES Registry Identity

NPI1396103685
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCOUNTRYSIDE MEDICAL CLINIC, LLC
Location Address909 E 2ND AVE STE GIndianola, IA 50125-2892
Mailing Address909 E 2nd Ave Ste GIndianola, IA 50125-2892 · (712) 370-3910 · Fax (888) 573-6009
Phone(712) 370-3910
Fax(888) 573-6009
Organization SubpartNo
Authorized OfficialKimberly Lynn RinesOwner/np · (712) 370-3910
Enumeration DateFebruary 2, 2016
Last NPPES UpdateAugust 22, 20263 updates tracked since enumeration
NPPES CertifiedAugust 22, 2026
✔ 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
909 E 2ND AVE STE G, Indianola, IA 50125
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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 ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIM DPC PLLC
Clinic/Center (Primary Care)
909 E 2ND AVE STE G
INDIANOLA, IA 50125
Warren County (515) 316-4128
MS. KIMBERLY LYNN RINES ARNP, MSN, RN
Nurse Practitioner
909 E 2ND AVE STE G
INDIANOLA, IA 50125
Warren County (712) 370-3910

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 909 E 2nd Ave Ste G, Indianola, IA 50125. The listed phone number is (712) 370-3910.

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 August 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.