Provider Demographics
NPI:1194008060
Name:SHERBURNE COUNTY
Entity Type:Organization
Organization Name:SHERBURNE COUNTY
Other - Org Name:SHERBURNE COUNTY HEALTH & HUMAN SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEN
Authorized Official - Middle Name:
Authorized Official - Last Name:EBEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-765-4018
Mailing Address - Street 1:13880 BUSINESS CENTER DR NW
Mailing Address - Street 2:
Mailing Address - City:ELK RIVER
Mailing Address - State:MN
Mailing Address - Zip Code:55330-1692
Mailing Address - Country:US
Mailing Address - Phone:763-765-4011
Mailing Address - Fax:763-765-4096
Practice Address - Street 1:13880 BUSINESS CENTER DR NW
Practice Address - Street 2:
Practice Address - City:ELK RIVER
Practice Address - State:MN
Practice Address - Zip Code:55330-1692
Practice Address - Country:US
Practice Address - Phone:763-765-4011
Practice Address - Fax:763-765-4096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management