NPIMap

Organization Active NPI

Sibley Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Arlington, MN
National Provider Identifier
1003876491
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
SIBLEY MEDICAL CENTER
Practice address
601 West Chandler
Arlington, MN 55307-0620
Phone
(507) 964-2271
Fax
(507) 964-8490
NPI assigned
Mar 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Phelps
Title
President/Ceo
Phone
(952) 442-2191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X MN Primary

Addresses

Primary practice location

601 West Chandler
Arlington, MN 55307-0620

Mailing address

601 West Chandler
P.O. Box 620
Arlington, MN 55307-0620
Phone (507) 964-2271

Other identifiers 1

IdentifierTypeStateIssuer
513547800MedicaidMN

Other names 1

  • Ridgeview Sibley Medical Center - Swing Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140203000735 MN Part A Provider - Critical Access Hospital 3870722499 Practice locations: Arlington, MN

Hospital certification: CCN 24Z311

Legal name
SIBLEY MEDICAL CENTER
Doing business as
RIDGEVIEW SIBLEY MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Mar 24, 1983 in MN
Enrollment address
601 W Chandler St
Arlington, MN 55307-2127
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Sibley Medical Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

601 W Chandler St
#620
Arlington, MN 55307
Phone (507) 964-2271

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sheri Kumar Individual Corporate DirectorBoard Director Jan 1, 2026
Diane Bias-Mosel Individual Corporate Director Jan 1, 2018
Kelly Pierson Individual Corporate DirectorBoard Member Jan 1, 2024
Christopher Bielke Individual W-2 Managing EmployeeDirector of Payer Strategy Jun 20, 2022
Ben C Nielsen Individual Corporate OfficerChief Operating Officer Jun 1, 2018
W-2 Managing EmployeeChief Operating Officer Jun 1, 2018
Michael J Phelps Individual Corporate OfficerCeo Jan 1, 2014
Jeffrey T Nelson Individual Corporate Director Jan 1, 2023
Nancy Mathwig Individual Corporate Director Jan 1, 2023
Bertha Woehler Individual Corporate DirectorBoard Member Jan 1, 2023
Brent K Wordelman Individual Corporate OfficerChief Financial Officer Apr 20, 2026
W-2 Managing Employee Oct 1, 2020
James Kreft Individual Corporate Director Jan 1, 2023
Aaron a Bloomquist Individual Corporate OfficerChief Financial Officer Oct 1, 2020
W-2 Managing Employee Oct 1, 2020
Ridgeview Medical Center Organization, Waconia, MN Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2014 100%

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 147

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 147

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1003876491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WEST CHANDLER",
            "address_2": "P.O. BOX 620",
            "city": "ARLINGTON",
            "state": "MN",
            "postal_code": "553070620",
            "telephone_number": "507-964-2271",
            "fax_number": "507-964-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WEST CHANDLER",
            "city": "ARLINGTON",
            "state": "MN",
            "postal_code": "553070620",
            "telephone_number": "507-964-2271",
            "fax_number": "507-964-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIBLEY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "952-442-2191"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "513547800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgeview Sibley Medical Center - Swing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ridgeview Sibley Medical Center - Swing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, MN

Sources for this page

Verify at the official NPI Registry.