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 P.L.L.C
NPI 1730072075
Clinic/Center - Medical Specialty in Clarkfield, MN

Active since June 03, 2025
920 10TH ST, CLARKFIELD, MN 56223(320) 321-2239 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2026, Oct 10, 2025, Sep 9, 2025 and 1 more (4 updates tracked since 2025).

About Countryside Medical Clinic P.l.l.c NPPES

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

COUNTRYSIDE MEDICAL CLINIC P.L.L.C (NPI 1730072075) is a healthcare organization registered as a medical specialty in Clarkfield, Minnesota and active in the NPI registry since June 2025. The organization lists Wyatt C. Haugen, Clinic Owner, as its authorized official.

NPPES Registry Identity

NPI1730072075
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameCOUNTRYSIDE MEDICAL CLINIC P.L.L.C
Location Address920 10TH STClarkfield, MN 56223-1377
Mailing AddressPo Box 189Montevideo, MN 56265-0189 · (320) 269-1959
Organization SubpartNo
Authorized OfficialWyatt C. HaugenClinic Owner · (320) 226-5416
Enumeration DateJune 3, 2025
Last NPPES UpdateJuly 15, 20264 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
NPI 1730072075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
920 10TH ST, Clarkfield, MN 56223

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 P.L.L.C's NPI number?

The NPI number for Countryside Medical Clinic P.L.L.C is 1730072075. It was assigned to this organization in the NPPES registry on June 3, 2025.

Where is Countryside Medical Clinic P.L.L.C located?

Countryside Medical Clinic P.L.L.C is located at 920 10th St, Clarkfield, MN 56223. The listed phone number is (320) 321-2239.

What is Countryside Medical Clinic P.L.L.C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Countryside Medical Clinic P.L.L.C was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 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.