Sibley Medical Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

FBL001293014326 Issued in MN

Legal business name

SIBLEY MEDICAL CENTER

Practice address

105 4TH Ave NW
Arlington, MN 55307-2075

Phone

(507) 964-5669

Fax

(507) 964-8460

NPI assigned

Mar 28, 2006

Last updated

Aug 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Todd Sandberg

Title

Ceo

Phone

(507) 964-8425

Specialties & licenses 1

Addresses

Other names 1

• Sibley Medical Center Adult Day Care Other name

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1922069368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WEST CHANDLER STREET",
            "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": "105 4TH AVE NW",
            "city": "ARLINGTON",
            "state": "MN",
            "postal_code": "553072075",
            "telephone_number": "507-964-5669",
            "fax_number": "507-964-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIBLEY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "SANDBERG",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-964-8425"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MN",
            "license": "FBL001293014326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sibley Medical Center Adult Day Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Christopher Thomas Taylor, APRN, FNP-BC
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Arlington)
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Fairview)
• Urology Associates, LTD.
• John Michael Vener, M.D.

• Adult Day Care Clinic/Center in Arlington, MN
• Providers in Arlington, MN by specialty
• Adult Day Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.