COUNTRYSIDE PUBLIC HEALTH SERVICE (NPI# 1346374550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346374550 |
Entity Type | Organization |
Organization Name | COUNTRYSIDE PUBLIC HEALTH SERVICE |
Other Organization Name | COUNTRYSIDE PUBLIC HEALTH |
Practice Address |
201 13th St S Benson MN 56215-1856 |
Practice Telephone | 3208434546 |
Practice Fax Number | 3208434094 |
Mailing Telephone | 3208434546 |
Mailing Fax Number | 3208434094 |
Enumeration Date | 2007-03-16 |
Last Update Date | 2020-03-12 |
Authorized Official Name | ELIZABETH AUCH (ADMINISTRATOR) |
Authorized Official Telephone | 3208434546 |
Authorized Official Credential | PHN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251K00000X | Public Health or Welfare | MN | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | UCARE PROVIDER # | 114389 | 01 |
MN | PRIMEWEST PROVIDER # | 03072603101 | 01 |
MN | 887753000 | 05 | |
MN | BCBS PROVIDER # | 8211CO | 01 |
MN | BCBS PROVIDER # | 8G529CO | 01 |
MN | BCBS PROVIDER # | 571K7CO | 01 |
Other Name | Type Code |
---|---|
Countryside Public Health | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | COUNTRYSIDE PUBLIC HEALTH SERVICE | 201 13th St S, Benson, MN 56215-1856 |
Street Address |
201 13TH ST S |
City | BENSON |
State | MN |
Zip Code | 56215-1856 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730455387 | Karen Forbord Mitteness | Registered Nurse | 201 13th St S, Benson, MN 56215-1856 | 2012-03-28 |
1407184344 | Elizabeth Auch | Registered Nurse | 201 13th St S, Benson, MN 56215-1856 | 2009-12-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316157944 | Jonell Elizabeth Schmidt | Counselor | 380 55th Ave Nw, Benson, MN 56215 | 2007-05-23 |
1124111745 | Jennifer Lynn Westrum | Counselor | 640 Atlantic Avenue, Benson, MN 56215 | 2006-10-02 |
1306984497 | Claudette M Larson | Social Worker | 640 Atlantic Ave, Benson, MN 56215 | 2007-02-02 |
1366419723 | Mary J Felt | Nurse Practitioner | 1805 Wisconsin Ave, Benson, MN 56215 | 2006-03-03 |
1962478289 | Richard R Horecka | Family Medicine | 1805 Wisconsin Ave, Benson, MN 56215 | 2006-02-27 |
1710953443 | Karen T Dorn | Internal Medicine | 1805 Wisconsin Ave, Benson, MN 56215 | 2006-02-23 |
1639145402 | Rachel A Wilcox | Nurse Practitioner | 1805 Wisconsin Ave, Benson, MN 56215 | 2006-02-23 |
1346578051 | Swift County Human Services Agency | Community/Behavioral Health | 410 21st Street S, Benson, MN 56215-0208 | 2009-11-19 |
1518918846 | Ggnsc Benson LLC | Skilled Nursing Facility | 2209 Utah Ave, Benson, MN 56215-1000 | 2006-05-12 |
1306468111 | Swift Benson Holdings LLC | Skilled Nursing Facility | 2209 Utah Ave, Benson, MN 56215-1000 | 2020-05-14 |
Find all providers in zip 56215 |
Taxonomy Code | 251K00000X |
Grouping | Agencies |
Classification | Public Health or Welfare |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760563704 | Southeastern Arizona Behavioral Health Svc, Inc. | Public Health or Welfare | 1193 Basyl Lane, Benson, AZ 85602 | 2006-10-18 |
1184613788 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 730-732 W. 4th St., Benson, AZ 85602 | 2005-10-17 |
1255329132 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 590 S Ocotillo Ave, Benson, AZ 85602-6405 | 2005-10-13 |
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---|---|---|---|---|
1861090649 | Total Compliance Solutions, Inc. | Public Health or Welfare | 40 Main St S, Hutchinson, MN 55350-2505 | 2020-10-13 |
1972008175 | Tiptop Interpreters LLC | Public Health or Welfare | 17211 Encina Path, Farmington, MN 55024-7332 | 2018-03-28 |
1528575149 | East Side Neighborhood Services | Public Health or Welfare | 1700 2nd St Ne, Minneapolis, MN 55413-1139 | 2018-01-04 |
1962914333 | Hennepin Healthcare System, Inc | Public Health or Welfare | 2000 Summer St Ne Ste 100, Minneapolis, MN 55413-2648 | 2017-10-25 |
1861849978 | County of Pine | Public Health or Welfare | 315 Main St S Ste 200, Pine City, MN 55063-1646 | 2016-05-18 |
1780043836 | N and N Interpreters Compmay | Public Health or Welfare | 1535 Comstock Ln N, Plymouth, MN 55447-2870 | 2016-02-17 |
1548628860 | Elaine Mae Jackson | Public Health or Welfare | 426 1st Ave, Two Harbors, MN 55616-1614 | 2016-02-01 |
1831564285 | Global Language Services LLC | Public Health or Welfare | 2731 Pillsbury Ave S Apt 207, Minneapolis, MN 55408-1591 | 2015-12-10 |
1316320971 | K-squared Fitness, L.L.C. | Public Health or Welfare | 1100 Cliff Rd, Eagan, MN 55123 | 2015-07-01 |
1225417223 | Pillsbury United Communities | Public Health or Welfare | 3501 Chicago Ave, Minneapolis, MN 55407-2109 | 2015-05-22 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.