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Organization

COUNTRY CLINICS, PC

Active
Other names
Cedar Rapids Medical CLinic
Organization subpart
No

Provider details

NPI number
Authorized official
LISA LYNNE KENNEDY (OFFICE MANAGER)
(402) 678-2232
Entity
Organization

Contact information

Practice address
106 S 3RD ST, CEDAR RAPIDS, NE 68627
(308) 358-0615
(308) 358-0617
Mailing address
PO BOX 313, CEDAR RAPIDS, NE 68627-0313
(308) 358-0615
(308) 358-0617

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025570600
NE
05
10025570700
NE
Enumeration date
11/01/2006
Last updated
10/24/2023
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