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FAIRVIEW CLINICS NPI 1215129853


NPI Information

NPI: 1215129853
Provider Name: FAIRVIEW CLINICS

Doing Business As: FAIRVIEW GERIATRIC SERVICES

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1700 UNIVERSITY AVE W FL 1
SAINT PAUL, MN
ZIP 55104
Phone: (952) 836-3637
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FAIRVIEW CLINICS is a health service clinic center in Saint Paul, MN. FAIRVIEW CLINICS NPI is 1215129853. The provider is registered as an organization entity type.
The provider Is Doing Business As Fairview Geriatric Services.

The provider's business location address is:

1700 UNIVERSITY AVE W FL 1
SAINT PAUL, MN
ZIP 55104-727
Phone: (952) 836-3637

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) 672-7272.

The enumeration date for this NPI number is 8/17/2007 and was last updated on 2/8/2022.


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
1261QH0100XClinic/CenterHealth ServiceYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1752820500MEDICAIDMINNESOTA

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

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