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FAIRVIEW EXPRESS CARE NPI 1053952606


NPI Information

NPI: 1053952606
Provider Name: FAIRVIEW EXPRESS CARE

Other Name: M HEALTH FAIRVIEW RECOVERY CLINIC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 24D2043139

Address:
2312 S 6TH ST STE F105
MINNEAPOLIS, MN
ZIP 55454
Phone: (612) 273-3565
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FAIRVIEW EXPRESS CARE is a multi-specialty clinic center in Minneapolis, MN. FAIRVIEW EXPRESS CARE NPI is 1053952606. The provider is registered as an organization entity type.
The provider Other Name Is M Health Fairview Recovery Clinic.

The provider's business location address is:

2312 S 6TH ST STE F105
MINNEAPOLIS, MN
ZIP 55454-336
Phone: (612) 273-3565

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

The CLIA number assigned to this NPI record is 24D2043139 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2019 and was last updated on 4/4/2024.


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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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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