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FAIRVIEW EXPRESS CARE NPI 1457397150


NPI Information

NPI: 1457397150
Provider Name: FAIRVIEW EXPRESS CARE

Doing Business As: M HEALTH FAIRVIEW PAIN CLINIC - MINNEAPOLIS

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

CLIA Number: 24D0972215

Address:
606 24TH AVE S
STE 600
MINNEAPOLIS, MN
ZIP 55454
Phone: (612) 273-5400
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FAIRVIEW EXPRESS CARE is a pain clinic center in Minneapolis, MN. FAIRVIEW EXPRESS CARE NPI is 1457397150. The provider is registered as an organization entity type.
The provider Is Doing Business As M Health Fairview Pain Clinic - Minneapolis.

The provider's business location address is:

606 24TH AVE S
STE 600
MINNEAPOLIS, MN
ZIP 55454-020
Phone: (612) 273-5400
Fax: (612) 273-9945

The provider's authorized official is Robert Andrew Mccoy .
The authorized official title is Vp Revenue Management and has the following contact phone number (612) 672-6594.

The CLIA number assigned to this NPI record is 24D0972215 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 10/26/2020.


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
1261QP3300XClinic/CenterPainYes

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
172B50FAOTHERMINNESOTABCBS
29805117OTHERMINNESOTAMEDICA
3173032OTHERMINNESOTAUCARE
419122OTHERMINNESOTAMHP
5648467100MEDICAIDMINNESOTA
6104855OTHERMINNESOTAHEALTHPARTNERS
7112516OTHERMINNESOTAHEALTHPARTNERS
896062OTHERMINNESOTAPREFERREDONE

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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