COUNTRYSIDE PUBLIC HEALTH SERVICE NPI 1346374550

NPI Information

  • NPI: 1346374550
  • Provider Name: COUNTRYSIDE PUBLIC HEALTH SERVICE
  • Classification: Public Health or Welfare - 251K00000X
  • Entity Type: Organization
  • Doing Business As: COUNTRYSIDE PUBLIC HEALTH
  • Address: 201 13TH ST S
    BENSON, MN
    ZIP 56215
  • Phone: (320) 843-4546

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NPI Details

COUNTRYSIDE PUBLIC HEALTH SERVICE is a public health or welfare in Benson, MN. COUNTRYSIDE PUBLIC HEALTH SERVICE NPI is 1346374550. The provider is registered as an organization entity type.
The provider Is Doing Business As Countryside Public Health.

The provider's business location address is:

201 13TH ST S
BENSON, MN
ZIP 56215-856
Phone: (320) 843-4546
Fax: (320) 843-4094

The provider's authorized official is Elizabeth Auch .
The authorized official title is Administrator and has the following contact phone number (320) 843-4546.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)

The enumeration date for this NPI number is 3/16/2007 and was last updated on 3/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251K00000XPublic Health or WelfareMINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1114389OTHERMINNESOTAUCARE PROVIDER #
203072603101OTHERMINNESOTAPRIMEWEST PROVIDER #
3887753000MEDICAIDMINNESOTA
48211COOTHERMINNESOTABCBS PROVIDER #
58G529COOTHERMINNESOTABCBS PROVIDER #
6571K7COOTHERMINNESOTABCBS PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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