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FAIRVIEW HEALTH SERVICES NPI 1407833643


NPI Information

NPI: 1407833643
Provider Name: FAIRVIEW HEALTH SERVICES

Doing Business As: UNIVERSITY OF MN MEDICAL CENTER, FAIRVIEW RENAL DIALYSIS CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2450 RIVERSIDE AVE
SUITE C2300
MINNEAPOLIS, MN
ZIP 55454
Phone: (612) 365-2300
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FAIRVIEW HEALTH SERVICES is an end-stage renal disease (esrd) treatment clinic center in Minneapolis, MN. FAIRVIEW HEALTH SERVICES NPI is 1407833643. The provider is registered as an organization entity type.
The provider Is Doing Business As University Of Mn Medical Center, Fairview Renal Dialysis Center.

The provider's business location address is:

2450 RIVERSIDE AVE
SUITE C2300
MINNEAPOLIS, MN
ZIP 55454-450
Phone: (612) 365-2300
Fax: (612) 365-2301

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

The enumeration date for this NPI number is 12/29/2005 and was last updated on 10/4/2023.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment02098MINNESOTAYes

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
1616845106MEDICAIDMINNESOTA
21006055OTHERMINNESOTAPREFERREDONE
35000803OTHERMINNESOTAMEDICA
41012HRIOTHERMINNESOTABCBS
52OTHERMINNESOTAHEALTHPARTNERS
6300050OTHERMINNESOTAUCARE

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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