Healthcare Provider Details

I. General information

NPI: 1376475368
Provider Name (Legal Business Name): CITY OF SLEEPY EYE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PARK ST S
FAIRFAX MN
55332-3153
US

IV. Provider business mailing address

400 4TH AVE NW
SLEEPY EYE MN
56085-1109
US

V. Phone/Fax

Practice location:
  • Phone: 507-426-7228
  • Fax: 507-794-5286
Mailing address:
  • Phone: 507-794-3571
  • Fax: 507-794-5950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TODD CONSBRUCK
Title or Position: ADMINISTRATOR
Credential:
Phone: 507-794-8440