Provider Demographics
NPI:1235297946
Name:SHERBURNE COUNTY
Entity Type:Organization
Organization Name:SHERBURNE COUNTY
Other - Org Name:SHERBURNE COUNTY HHS/PUBLIC HEALTH DIVISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARYJO
Authorized Official - Middle Name:
Authorized Official - Last Name:COBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-765-4055
Mailing Address - Street 1:13880 BUSINESS CENTER DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ELK RIVER
Mailing Address - State:MN
Mailing Address - Zip Code:55330-1692
Mailing Address - Country:US
Mailing Address - Phone:763-765-4000
Mailing Address - Fax:763-765-4096
Practice Address - Street 1:13880 BUSINESS CENTER DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:ELK RIVER
Practice Address - State:MN
Practice Address - Zip Code:55330-1692
Practice Address - Country:US
Practice Address - Phone:763-765-4000
Practice Address - Fax:763-765-4096
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHERBURNE COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-05
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN111504OtherUCARE MINNESOTA
MN8G974SHOtherBCBS BLUE PLUS
MN8300095OtherMEDICA
MN112092OtherUCARE MINNESOTA
MN160355800Medicaid