Countryside Medical Clinic P.L.L.C
NPI 1730072075 · Clinic/Center · Montevideo, MN
Countryside Medical Clinic P.L.L.C is a Clinic/Center organization in Montevideo, MN (NPI 1730072075).
Provider details
- NPI number
- 1730072075
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Wyatt Haugen, Clinic Owner(320) 226-5416
Specialties & taxonomies
Ambulatory Health Care Facilities
- Infusion Therapy Clinic/Center261QI0500X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Countryside IV Lounge and Wellness
- Doing business as
- Countryside IV Lounge and Wellness
- Doing business as
- Countryside Medical Clinic P.L.L.C
Registry dates
- Enumerated
- 2025-06-03
- Last updated
- 2025-10-10
- Certified
- 2025-10-10
Frequently asked questions
- What is Countryside Medical Clinic P.L.L.C's NPI number?
- Countryside Medical Clinic P.L.L.C's National Provider Identifier (NPI) is 1730072075, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Countryside Medical Clinic P.L.L.C?
- Countryside Medical Clinic P.L.L.C is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Countryside Medical Clinic P.L.L.C located?
- Countryside Medical Clinic P.L.L.C's practice location on file with NPPES is 416 N 1st St Ste 2, Montevideo, MN 56265-1408.
- What is Countryside Medical Clinic P.L.L.C's phone number?
- The practice phone number listed in the NPPES registry for Countryside Medical Clinic P.L.L.C is (320) 226-5416.
- Who is the authorized official for Countryside Medical Clinic P.L.L.C?
- The authorized official listed on Countryside Medical Clinic P.L.L.C's NPPES record is Wyatt Haugen, Clinic Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Countryside Medical Clinic P.L.L.C's NPI active?
- Yes — Countryside Medical Clinic P.L.L.C's NPI (1730072075) is active in the NPPES registry as of the last update on 2025-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.