Organization
COUNTRYSIDE MEDICAL CLINIC P.L.L.C
Active
Other names
CountrySide Medical Clinic P.L.L.C, CountrySide IV Lounge and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
WYATT C. HAUGEN CWCA-BC, CSWS-BC (CLINIC OWNER)
(320) 226-5416
Entity
Organization
Contact information
Practice address
416 N 1ST ST STE 2, MONTEVIDEO, MN 56265-1408
(320) 226-5416
Mailing address
PO BOX 27, MONTEVIDEO, MN 56265-0027
(320) 226-5416
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
Other
Enumeration date
06/03/2025
Last updated
10/10/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us