Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Country Clinic Medical Services Inc

Family Medicine Physician in Waukee, IA · enumerated 2007 · authorized official Kim Countryman, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396890158

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Country Clinic Medical Services Inc

Other name <Unavail>

Practice address 120 Ne Dartmoor Dr, Waukee, IA, 50263

Phone (515) 987-3117

Fax (515) 987-3119

Enumeration date Jan 24, 2007

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 02312 (IA) Primary

Authorized official

Name Kim Countryman

Title Owner

Phone (515) 987-3117

Other identifiers

Identifier	Type	State	Issuer
0284083	Medicaid	IA	-
1043646	Medicaid	IA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Country Clinic Medical Services Inc located?

The practice location on file with NPPES is in Waukee, IA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Kim Countryman Family Medicine Physician · Waukee, IA NPI 1750382347

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.