Organization
COUNTRYSIDE MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY LYNN RINES ARNP (NURSE PRACTITIONER)
(712) 629-0040
Entity
Organization
Contact information
Practice address
1959 200TH ST, RED OAK, IA 51566-3218
(712) 629-0040
(712) 566-5049
Mailing address
1959 200TH ST, RED OAK, IA 51566-3218
(712) 629-0040
(712) 566-5049
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2016
Last updated
12/12/2018
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