Organization
SHERBURNE COUNTY
Active
Parent organization
SHERBURNE COUNTY
Other names
Sherburne County HHS/Public Health Division
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHERBURNE COUNTY
Authorized official
MARYJO COBB (DIRECTOR)
(763) 765-4055
Entity
Organization
Contact information
Practice address
13880 BUSINESS CENTER DRIVE, SUITE 100, ELK RIVER, MN 55330-1692
(763) 765-4000
(763) 765-4096
Mailing address
13880 BUSINESS CENTER DRIVE, SUITE 100, ELK RIVER, MN 55330-1692
(763) 765-4000
(763) 765-4096
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111504
UCARE MINNESOTA
MN
01
—
112092
UCARE MINNESOTA
MN
05
—
160355800
—
MN
01
—
8300095
MEDICA
MN
01
—
8G974SH
BCBS BLUE PLUS
MN
Enumeration date
12/05/2006
Last updated
12/30/2019
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