Healthcare Provider Details

I. General information

NPI: 1972668705
Provider Name (Legal Business Name): SIBLEY EAST PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 09/30/2024
Certification Date: 09/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 3RD AVE NW
ARLINGTON MN
55307
US

IV. Provider business mailing address

PO BOX 1000
ARLINGTON MN
55307-1000
US

V. Phone/Fax

Practice location:
  • Phone: 507-964-8224
  • Fax: 507-964-8245
Mailing address:
  • Phone: 507-964-8224
  • Fax: 507-964-8245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: LONNIE SIEFERT
Title or Position: SUPERINTENDENT
Credential:
Phone: 507-964-2292