Organization
COUNTRYSIDE PUBLIC HEALTH SERVICE
Active
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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