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FAIRVIEW CLINICS NPI 1134773419


NPI Information

NPI: 1134773419
Provider Name: FAIRVIEW CLINICS

Doing Business As: M HEALTH FAIRVIEW WALK IN CLINIC MALL OF AMERICA

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 24D2169532

Address:
322 E. BROADWAY SUITE E322
BLOOMINGTON, MN
ZIP 55425
Phone: (952) 927-3800
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FAIRVIEW CLINICS is a clinic center in Bloomington, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FAIRVIEW CLINICS NPI is 1134773419. The provider is registered as an organization entity type.
The provider Is Doing Business As M Health Fairview Walk In Clinic Mall Of America.

The provider's business location address is:

322 E. BROADWAY SUITE E322
BLOOMINGTON, MN
ZIP 55425
Phone: (952) 927-3800

The provider's authorized official is Robert Andrew Mccoy .
The authorized official title is Vp Revenue Management and has the following contact phone number (612) 672-6594.

The CLIA number assigned to this NPI record is 24D2169532 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2019 and was last updated on 9/5/2019.


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
1261Q00000XClinic/CenterYes

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: 11/14/2023

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.