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Countryside Medical Clinic P.L.L.C

Clinic/Center in Montevideo, MN · enumerated 2025 · authorized official Wyatt Haugen, Clinic Owner.

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

National Provider Identifier

1730072075

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Registry record

Entity type Organization (Type 2)
Legal business name Countryside Medical Clinic P.L.L.C
Other name <Unavail>
Practice address 416 N 1st St Ste 2, Montevideo, MN, 56265
Enumeration date Jun 3, 2025
Last updated in NPPES Oct 10, 2025

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities Primary
261QI0500X Infusion Therapy Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Wyatt Haugen
Title Clinic Owner

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.

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Frequently asked questions

Who is the authorized official for Countryside Medical Clinic P.L.L.C?
NPPES lists Wyatt Haugen (Clinic Owner) as the authorized official for this organization.
What is the NPI number for Countryside Medical Clinic P.L.L.C?
The NPI for Countryside Medical Clinic P.L.L.C is 1730072075, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-10.