FAIRVIEW HEALTH SERVICES NPI 1063687374

NPI Information

  • NPI: 1063687374
  • Provider Name: FAIRVIEW HEALTH SERVICES
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • :
  • Address: 2960 WINNETKA AVE N
    CRYSTAL, MN
    ZIP 55427
  • Phone: (763) 541-4993

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NPI Details

FAIRVIEW HEALTH SERVICES is a clinic center in Crystal, 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 HEALTH SERVICES NPI is 1063687374. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

2960 WINNETKA AVE N
CRYSTAL, MN
ZIP 55427-853
Phone: (763) 541-4993
Fax: (763) 541-5324

The provider's authorized official is Maureen V Ring .
The authorized official title is Sys Dir Govt Reimb & Netwk Rel and has the following contact phone number (612) 672-6740.

The enumeration date for this NPI number is 4/28/2008 and was last updated on 2/19/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1387355200MEDICAIDMINNESOTA

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: 11/21/2025

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