Organization
COUNTRY CARE CENTER, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE MCQUEEN (ADMINISTRATOR)
(712) 744-3453
Entity
Organization
Contact information
Practice address
725 HIGHWAY 59, HARLAN, IA 51537-6709
(712) 744-3453
(712) 744-3458
Mailing address
PO BOX 351, HARLAN, IA 51537-0351
(712) 744-3453
(712) 744-3458
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
R390
IA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
R390
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0238410
SCL
IA
01
—
0735639
HCBS WAIVER
IA
01
—
0747410
DAY HABILITATION
IA
05
—
0894006
—
IA
Enumeration date
04/13/2007
Last updated
09/11/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up