Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Country Clinic Medical Services Inc

Organization Family Medicine Physician · NPI 1396890158

Country Clinic Medical Services Inc is a Family Medicine Physician in Waukee, Iowa. Licensed in Iowa. Registered with an NPI since 2007.

Licensed in
IA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

120 NE Dartmoor Dr
Waukee, IA 50263-9660
Phone: (515) 987-3117
Fax: (515) 987-3119
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 02312 (IA)

Record details

NPI number1396890158
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Countryman — Owner · (515) 987-3117
Other names Country Clinic
NPI enumeratedJanuary 24, 2007
Last updated in NPPESAugust 22, 2020
Mailing address120 Ne Dartmoor Dr, Po Box 968, Waukee, IA 50263-9660

Other providers in Waukee