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FAIRVIEW HEALTH SERVICES NPI 1104392398


NPI Information

NPI: 1104392398
Provider Name: FAIRVIEW HEALTH SERVICES
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

CLIA Number: 24D2130601

Address:
1875 WOODWINDS DR STE 150
WOODBURY, MN
ZIP 55125
Phone: (651) 683-7000
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FAIRVIEW HEALTH SERVICES is a customized equipment durable medical equipment medical supplies in Woodbury, MN. FAIRVIEW HEALTH SERVICES NPI is 1104392398. The provider is registered as an organization entity type.

The provider's business location address is:

1875 WOODWINDS DR STE 150
WOODBURY, MN
ZIP 55125-518
Phone: (651) 683-7000
Fax: (651) 683-7001

The provider's authorized official is Maureen Ring .
The authorized official title is Director Network Relations Ao and has the following contact phone number (612) 672-6740.

The CLIA number assigned to this NPI record is 24D2130601 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2018 and was last updated on 1/15/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.