NPIMap

Organization Active NPI

Sibley Medical Center

Doing business as Ridgeview Henderson Clinic

  • Rural Health Clinic/Center
  • Henderson, MN
National Provider Identifier
1841250255
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SIBLEY MEDICAL CENTER
Doing business as
Ridgeview Henderson Clinic
Practice address
505 Main St
Henderson, MN 56044
Phone
(507) 248-3433
Fax
(507) 248-3455
NPI assigned
Mar 28, 2006
Last updated
Apr 20, 2022By the provider in NPPES
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
Rural Health Clinic/Center 261QR1300X MN Primary

Addresses

Primary practice location

505 Main St
Henderson, MN 56044

Mailing address

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

Other names 1

  • Ridgeview Henderson Clinic Doing business as

National Provider Directory

National Provider Directory

Member of 2

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

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": "1841250255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W CHANDLER ST",
            "city": "ARLINGTON",
            "state": "MN",
            "postal_code": "55307",
            "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": "505 MAIN ST",
            "city": "HENDERSON",
            "state": "MN",
            "postal_code": "56044",
            "telephone_number": "507-248-3433",
            "fax_number": "507-248-3455"
        }
    ],
    "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgeview Henderson Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ridgeview Henderson Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.