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

Countryside Medical Clinic, LLC

Organization Primary Care Clinic/Center · NPI 1396103685

Countryside Medical Clinic, LLC is a Primary Care Clinic/Center in Red Oak, Iowa. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1959 200th St
Red Oak, IA 51566-3218
Phone: (712) 629-0040
Fax: (712) 566-5049
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1396103685
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Rines — Nurse Practitioner · (712) 629-0040
NPI enumeratedFebruary 2, 2016
Last updated in NPPESDecember 12, 2018
Mailing address1959 200th St, Red Oak, IA 51566-3218