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FAIRVIEW HEALTH SERVICES NPI 1508873464


NPI Information

NPI: 1508873464
Provider Name: FAIRVIEW HEALTH SERVICES

Doing Business As: FAIRVIEW ORTHOTICS AND PROSTHETICS

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
2200 UNIVERSITY AVE W
STE 114
SAINT PAUL, MN
ZIP 55114
Phone: (651) 644-5808
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FAIRVIEW HEALTH SERVICES is a prosthetic orthotic supplier in Saint Paul, 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 1508873464. The provider is registered as an organization entity type.
The provider Is Doing Business As Fairview Orthotics And Prosthetics.

The provider's business location address is:

2200 UNIVERSITY AVE W
STE 114
SAINT PAUL, MN
ZIP 55114-839
Phone: (651) 644-5808
Fax: (651) 644-5926

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

The enumeration date for this NPI number is 8/2/2006 and was last updated on 1/15/2024.


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
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1752637700MEDICAIDMINNESOTA
2122579OTHERMINNESOTAUCARE
38200174OTHERMINNESOTAMEDICA
48253OTHERMINNESOTAHEALTHPARTNERS
567Q55FAOTHERMINNESOTABCBS
61007974OTHERMINNESOTAPREFERRED ONE

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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