CEDAR RAPIDS MEDICAL CLINIC
NPI 1932287570
Clinic/Center in Cedar Rapids, NE

Active since November 01, 2006CLIA 28D0455414 · Waiver
106 S 3RD ST, CEDAR RAPIDS, NE 68627(308) 358-0615(308) 358-0617 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cedar Rapids Medical Clinic NPPES

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

CEDAR RAPIDS MEDICAL CLINIC (NPI 1932287570) is a healthcare organization registered as a clinic/center in Cedar Rapids, Nebraska and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Lisa Lynne Kennedy, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1932287570
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOUNTRY CLINICS, PC
Location Address106 S 3RD STCedar Rapids, NE 68627
Mailing AddressPo Box 313Cedar Rapids, NE 68627-0313 · (308) 358-0615 · Fax (308) 358-0617
Fax(308) 358-0617
Organization SubpartNo
Authorized OfficialLisa Lynne KennedyOffice Manager · (402) 678-2232
Enumeration DateNovember 1, 2006
Last NPPES UpdateOctober 24, 2023
NPPES CertifiedSeptember 26, 2022
NPI 1932287570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
106 S 3RD ST, Cedar Rapids, NE 68627

Other Names 1

Doing Business AsCedar Rapids Medical Clinic

Other Identifiers 2

Medicaid10025570600NE
Medicaid10025570700NE

Accepted 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 of Waiver 28D0455414

Cedar Rapids Medical Clinic · Cedar Rapids, NE
Active · expires Aug 31, 2026
CLIA Number28D0455414
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorNikki R. Heidemann
Laboratory Phone(308) 358-0615
Laboratory LocationCedar Rapids Medical Clinic106 South 3rd Street, Cedar Rapids, NE 68627
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Clinics, PC's NPI number?

The NPI number for Country Clinics, PC is 1932287570. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as Cedar Rapids Medical Clinic.

Where is Country Clinics, PC located?

Country Clinics, PC is located at 106 S 3rd St, Cedar Rapids, NE 68627. The listed phone number is (308) 358-0615.

What is Country Clinics, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Country Clinics, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D0455414) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Country Clinics, PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Medica and 1 other insurer list Country Clinics, PC 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 Clinics, PC was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.