COUNTRY CLINIC, LLC
NPI 1609825892
Family Medicine in Simmesport, LA

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

The NPI number for Country Clinic, LLC is 1609825892. It was assigned to this organization in the NPPES registry on May 8, 2006.

Q: What is Country Clinic, LLC's specialty?

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

Active since May 08, 2006CLIA 19D0921825 · Microscopy

314 CHRISTINE LN, SIMMESPORT, LA 71369(318) 941-2057(318) 941-2067 Get Directions Write a Review

NPPES record last updated: November 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Country Clinic, Llc NPPES

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

COUNTRY CLINIC, LLC (NPI 1609825892) is a healthcare organization registered as a family medicine in Simmesport, Louisiana and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through April 22, 2027 and lists Rose Kuplesky, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1609825892

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCOUNTRY CLINIC, LLC

Location Address314 CHRISTINE LNSimmesport, LA 71369-2256

Mailing AddressPo Box 80735Lafayette, LA 70598-0735 · (800) 564-8971 · Fax (866) 693-1704

Phone(318) 941-2057

Fax(318) 941-2067

Organization SubpartNo

Authorized OfficialRose KupleskyOwner/manager · (318) 941-2057

Enumeration DateMay 8, 2006

Last NPPES UpdateNovember 13, 2014

✔ NPI 1609825892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in LA · 025398

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.

314 CHRISTINE LN, Simmesport, LA 71369

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Other Identifiers 1

Medicaid1445665LA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 19D0921825

Country Clinic · Simmesport, LA

Active · expires Apr 22, 2027

CLIA Number19D0921825

Laboratory TypePhysician Office

Certificate Effective DateApril 23, 2025

Certificate Expiration DateApril 22, 2027

Laboratory DirectorSteve Kuplesky MD

Laboratory Phone(318) 941-2057

Laboratory LocationCountry Clinic314 Christine Lane, Simmesport, LA 71369

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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, LLC's NPI number?

The NPI number for Country Clinic, LLC is 1609825892. It was assigned to this organization in the NPPES registry on May 8, 2006.

Where is Country Clinic, LLC located?

Country Clinic, LLC is located at 314 Christine Ln, Simmesport, LA 71369. The listed phone number is (318) 941-2057.

What is Country Clinic, LLC's specialty?

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

Does Country Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 19D0921825) is associated with this NPI, valid through April 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Country Clinic, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Country 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 Country Clinic, LLC was last updated on November 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.