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1699752915

NPI Code Detail

MEDICARE: FAIRVIEW HEALTH SERVICES

MEDICARE: FAIRVIEW HEALTH SERVICES

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
1	133V00000X	Registered Dietitian
2	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician
3	367500000X	Certified Registered Nurse Anesthetist
4	282N00000X	General Acute Care Hospital	00201	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5000804	OTHER	MN	MEDICA
2	17756TE	OTHER	MN	BCBS
3	182050	OTHER	MN	UCARE
4	5000013	OTHER	MN	MEDICA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	9840049	OTHER	MN	MEDICA
7	1014HFA	OTHER	MN	BCBS
8	300075	OTHER	MN	UCARE
9	62035FA	OTHER	MN	BCBS
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	27581	OTHER	MN	HEALTHPARTNERS
13	6608279	OTHER	MN	MEDICA
14	76896	OTHER	MN	PREFERREDONE
15	1006057	OTHER	MN	PREFERREDONE
16	17	OTHER	MN	HEALTHPARTNERS
17	9000019122	OTHER	MN	MHP
18	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699752915
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAIRVIEW HEALTH SERVICES

Provider Business Mailing Address
First Line	:	1700 UNIVERSITY AVE W
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55104-3727
Country	:	US
Telephone Number	:	612-672-6740
Fax Number	:	612-884-3592

Provider Business Practice Location Address
First Line	:	6401 FRANCE AVE S
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55435-2104
Country	:	US
Telephone Number	:	952-924-5000
Fax Number	:	952-924-5382

Authorized Official
Title or Position	:	SYS DIR GOVT REIMB & NETWK REL
Name	:	MAUREEN V RING
Credential	:
Telephone Number	:	612-672-6740

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	02/27/2025

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Directions to “FAIRVIEW HEALTH SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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