Country Services INC
Case Management in Lakeville, MN. Organization (NPI-2).
NPI number1174700611
StatusActive
Last updated in NPPESSep 10, 2026
Details
- NPI
- 1174700611
- Entity type
- Organization (NPI-2)
- Legal business name
- Country Services INC
- Organization subpart
- No
- Enumeration date
- Jan 28, 2008
- Certification date
- Sep 10, 2026
- Last updated
- Sep 10, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
Practice location
16995 Enfield PathLakeville, MN 55044-4769
Phone 651-270-5903
Mailing address
16995 Enfield PathLakeville, MN 55044-4769
Phone 651-270-5903 · Fax 651-998-0844
Authorized official
Paula Jean Goeldner
Ceo
6512705903
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