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NPI Code Detail

MEDICARE: FAIRVIEW HEALTH SERVCIES

MEDICARE: FAIRVIEW HEALTH SERVCIES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336I0012XInstitutional Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12048469OTHERPK
22614119OTHERMNPHARMACY LICENSE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407930159
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAIRVIEW HEALTH SERVCIES
Provider Business Mailing Address
First Line : PO BOX 1450
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55485-7429
Country : US
Telephone Number : 612-672-5139
Fax Number : 612-672-6545
Provider Business Practice Location Address
First Line : 500 HARVARD ST SE RM 1550
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55455-0363
Country : US
Telephone Number : 612-273-3200
Fax Number : 612-273-4954
Authorized Official
Title or Position : PRESIDENT
Name : ROBERT BEACHER
Credential :
Telephone Number : 612-672-7047
Provider Enumeration Date : 10/25/2006
Last Update Date : 06/26/2026

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Directions to “FAIRVIEW HEALTH SERVCIES ” Practice Location

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