Provider Demographics
NPI:1710212055
Name:COUNTY OF SIBLEY
Entity Type:Organization
Organization Name:COUNTY OF SIBLEY
Other - Org Name:SIBLEY COUNTY HUMAN SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:
Authorized Official - Last Name:STOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-237-4000
Mailing Address - Street 1:111 8TH ST
Mailing Address - Street 2:PO BOX 237
Mailing Address - City:GAYLORD
Mailing Address - State:MN
Mailing Address - Zip Code:55334-0237
Mailing Address - Country:US
Mailing Address - Phone:507-237-4000
Mailing Address - Fax:507-237-4031
Practice Address - Street 1:111 8TH ST
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MN
Practice Address - Zip Code:55334-0237
Practice Address - Country:US
Practice Address - Phone:507-237-4000
Practice Address - Fax:507-237-4031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA000072800Medicaid