COUNTRYSIDE PUBLIC HEALTH SERVICE — NPI 1346374550 (Licensed & Credentialed Agencies

CMS-1500 Box 24J / 33a • NPI

1346374550

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

251K00000X (CMS 60)

Licensed & Credentialed Agencies — Public Health or Welfare

Box 32 Service Location & ZIP+4

201 13TH ST S, BENSON, MN, 56215-1856

✓ 9-Digit EDI 837 ZIP+4 (56215-1856)

Practice Phone & Referral Fax

(320) 843-4546

Fax: (320) 843-4094

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1346374550 (COUNTRYSIDE PUBLIC HEALTH SERVICE) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1346374550)

Medicare Beneficiaries

Total Billed Services

Distinct CPT/HCPCS Codes

Medicare Allowed Total

$2,499.98

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCS	Clinical Procedure Description	Services
`90480`	Admn sarscov2 vacc 1 dose	11
`91322`	Sarscov2 vac 50 mcg/0.5ml im	11

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1346374550` (NPI-2 Organization / Facility)
Provider / Legal Name	COUNTRYSIDE PUBLIC HEALTH SERVICE
Plain-English Specialty	Licensed & Credentialed Agencies — Public Health or Welfare NUCC Code: `251K00000X` (Public Health or Welfare)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	201 13TH ST S, BENSON, MN, 56215-1856
Practice Telephone / Fax	Tel: (320) 843-4546 \| Fax: (320) 843-4094
Administrative Mailing Address	201 13TH ST S, BENSON, MN, 56215-1856
Enumeration & Last Sync	Enumerated: 2007-03-16 \| CMS Record Updated: 2026-09-15
Authorized Official	LAURA LARSON (Administrator)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

201 13TH ST S, BENSON, MN, 56215-1856

🗺️ Open in Google Maps 🏥 More Providers in BENSON

🔒 Are you COUNTRYSIDE PUBLIC HEALTH SERVICE? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (251K00000X)

What Does Taxonomy Code 251K00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251K00000X translates to:
"Licensed & Credentialed Agencies — Public Health or Welfare"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 60 (Public Health or Welfare Agency)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Public Health or Welfare for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (COUNTRYSIDE PUBLIC HEALTH SERVICE)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251K00000X` — Public Health or Welfare Plain English: Licensed & Credentialed Agencies — Public Health or Welfare	State: MN \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

COUNTRYSIDE PUBLIC HEALTH SERVICE (NPI #1346374550)