Organization
COUNTRYSIDE PUBLIC HEALTH SERVICE
Active
Other names
Countryside Public Health
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH AUCH PHN (ADMINISTRATOR)
(320) 843-4546
Entity
Organization
Contact information
Practice address
201 13TH ST S, BENSON, MN 56215-1856
(320) 843-4546
(320) 843-4094
Mailing address
201 13TH ST S, BENSON, MN 56215-1856
(320) 843-4546
(320) 843-4094
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03072603101
PRIMEWEST PROVIDER #
MN
01
—
114389
UCARE PROVIDER #
MN
01
—
571K7CO
BCBS PROVIDER #
MN
01
—
8211CO
BCBS PROVIDER #
MN
05
—
887753000
—
MN
01
—
8G529CO
BCBS PROVIDER #
MN
Enumeration date
03/16/2007
Last updated
03/12/2020
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