FAIRVIEW EXPRESS CARE NPI 1417277294

NPI Information

  • NPI: 1417277294
  • Provider Name: FAIRVIEW EXPRESS CARE
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • :
  • CLIA Number: 24D1049217
  • Address: 10961 CLUB WEST PKWY
    STE 200
    BLAINE, MN
    ZIP 55449
  • Phone: (763) 528-2992

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NPI Details

FAIRVIEW EXPRESS CARE is a multi-specialty clinic center in Blaine, MN. FAIRVIEW EXPRESS CARE NPI is 1417277294. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

10961 CLUB WEST PKWY
STE 200
BLAINE, MN
ZIP 55449-866
Phone: (763) 528-2992
Fax: (763) 528-2951

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 CLIA number assigned to this NPI record is 24D1049217 - other with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/3/2010 and was last updated on 2/13/2025.

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
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: 3/30/2025

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