Organization · Type 2 NPI
Countryside Medical Clinic, LLC
Primary Care Clinic/Center · Indianola, IA
NPI number
1396103685
Active
Practice location
909 E 2nd Ave Ste G
Indianola, IA 50125-2892
Fax (888) 573-6009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
Other primary care clinic/center providers in Indianola
About NPI 1396103685
Countryside Medical Clinic, LLC's National Provider Identifier is 1396103685, issued on Feb 2, 2016. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Indianola, IA. The record was last updated on Aug 22, 2026.