Country Clinic Medical Services Inc
NPI 1396890158ActiveOrganization· Family Medicine· Waukee, IA
Family Medicine in Waukee, Iowa, registered in NPPES in January 2007. The authorized official on file is Kim K. Countryman, D.O., Owner.
Overview
| NPI | 1396890158 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 24, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 02312 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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