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COUNTRY CLINIC
NPI 1396890158
Family Medicine in Waukee, IA

Active since January 24, 2007
120 NE DARTMOOR DR, WAUKEE, IA 50263(515) 987-3117(515) 987-3119 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Country Clinic NPPES

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

COUNTRY CLINIC (NPI 1396890158) is a healthcare organization registered as a family medicine in Waukee, Iowa and active in the NPI registry since January 2007. The organization lists Kim K Countryman, Owner, as its authorized official.

NPPES Registry Identity

NPI1396890158
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOUNTRY CLINIC MEDICAL SERVICES INC
Location Address120 NE DARTMOOR DRWaukee, IA 50263-9660
Mailing Address120 Ne Dartmoor Dr, Po Box 968Waukee, IA 50263-9660 · (515) 987-3117 · Fax (515) 987-3119
Phone(515) 987-3117
Fax(515) 987-3119
Organization SubpartNo
Authorized OfficialKim K CountrymanOwner · (515) 987-3117
Enumeration DateJanuary 24, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1396890158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · 02312
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

120 NE DARTMOOR DR, Waukee, IA 50263
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Other Names 1

Doing Business AsCountry Clinic

Other Identifiers 2

Medicaid0284083IA
Medicaid1043646IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

KIM K COUNTRYMAN D.O.
Family Medicine
120 NE DARTMOOR DR
WAUKEE, IA 50263
Dallas County (515) 875-9890

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 Country Clinic Medical Services Inc's NPI number?

The NPI number for Country Clinic Medical Services Inc is 1396890158. It was assigned to this organization in the NPPES registry on January 24, 2007. The provider is doing business as Country Clinic.

Where is Country Clinic Medical Services Inc located?

Country Clinic Medical Services Inc is located at 120 NE Dartmoor Dr, Waukee, IA 50263. The listed phone number is (515) 987-3117.

What is Country Clinic Medical Services Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Country Clinic Medical Services Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.