FAIRVIEW HEALTH SERVICES NPI 1396708038

NPI Information

  • NPI: 1396708038
  • Provider Name: FAIRVIEW HEALTH SERVICES
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • :
  • Address: 10961 CLUB WEST PKWY NE
    STE 220
    BLAINE, MN
    ZIP 55449
  • Phone: (763) 852-6401

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NPI Details

FAIRVIEW HEALTH SERVICES is a prosthetic orthotic supplier in Blaine, MN. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. FAIRVIEW HEALTH SERVICES NPI is 1396708038. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

10961 CLUB WEST PKWY NE
STE 220
BLAINE, MN
ZIP 55449-866
Phone: (763) 852-6401
Fax: (763) 852-6402

The provider's authorized official is Jill Marie Mccartney .
The authorized official title is SYSTEM EXECUTIVE 0&P0&p and has the following contact phone number (651) 632-9835.

The enumeration date for this NPI number is 4/11/2006 and was last updated on 5/13/2025.

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
1335E00000XProsthetic/Orthotic SupplierYes

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
1122572OTHERMINNESOTAUCARE
28253OTHERMINNESOTAHEALTHPARTNERS
367Q55FAOTHERMINNESOTABCBS
4290458600MEDICAIDMINNESOTA
58200176OTHERMINNESOTAMEDICA

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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