NPIMap

Organization Active NPI

Sherburne County

Doing business as Sherburne County HHS/Public Health Division

  • Public Health or Welfare Agency
  • Elk River, MN
National Provider Identifier
1235297946
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
SHERBURNE COUNTY
Doing business as
Sherburne County HHS/Public Health Division
Practice address
13880 Business Center Drive
Suite 100
Elk River, MN 55330-1692
Phone
(763) 765-4000
Fax
(763) 765-4096
NPI assigned
Dec 5, 2006
Organization subpart
Yes
Parent organization
SHERBURNE COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Authorized official

Name
Maryjo Cobb
Title
Director
Phone
(763) 765-4055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

13880 Business Center Drive
Suite 100
Elk River, MN 55330-1692

Mailing address

13880 Business Center Drive
Suite 100
Elk River, MN 55330-1692
Phone (763) 765-4000

Other identifiers 5

IdentifierTypeStateIssuer
111504OtherMNUCARE MINNESOTA
8G974SHOtherMNBCBS BLUE PLUS
8300095OtherMNMEDICA
112092OtherMNUCARE MINNESOTA
160355800MedicaidMN

Other names 1

  • Sherburne County HHS/Public Health Division Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sherburne County Social Services3 organizations share this tax ID, including this one
Part of
Sherburne County Social Services

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1235297946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13880 BUSINESS CENTER DRIVE",
            "address_2": "SUITE 100",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301692",
            "telephone_number": "763-765-4000",
            "fax_number": "763-765-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13880 BUSINESS CENTER DRIVE",
            "address_2": "SUITE 100",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301692",
            "telephone_number": "763-765-4000",
            "fax_number": "763-765-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERBURNE COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHERBURNE COUNTY",
        "enumeration_date": "2006-12-05",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "MARYJO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "763-765-4055"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MINNESOTA",
            "identifier": "111504",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUE PLUS",
            "identifier": "8G974SH",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "8300095",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MINNESOTA",
            "identifier": "112092",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160355800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sherburne County HHS/Public Health Division",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk River, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.