| Countryside Medical Clinic P.l.l.c | |
|
416 N 1st St Ste 2 Montevideo MN 56265-1408 | |
| (320) 226-5416 | |
| Not Available |
| Full Name | Countryside Medical Clinic P.l.l.c |
|---|---|
| Speciality | Clinic/center |
| Location | 416 N 1st St Ste 2, Montevideo, Minnesota |
| Authorized Official Name and Position | Wyatt C. Haugen (CLINIC OWNER) |
| Authorized Official Contact | 3202265416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Countryside Medical Clinic P.l.l.c Po Box 27 Montevideo MN 56265-0027 Ph: (320) 226-5416 | Countryside Medical Clinic P.l.l.c 416 N 1st St Ste 2 Montevideo MN 56265-1408 Ph: (320) 226-5416 |
| NPI Number | 1730072075 |
|---|---|
| Provider Enumeration Date | 06/03/2025 |
| Last Update Date | 10/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730072075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QI0500X | Clinic/center - Infusion Therapy | (* (Not Available)) | Secondary |
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