| Fairview Clinics-andover | |
|
13819 Hanson Blvd Nw Andover MN 55304-7608 | |
| (763) 572-5700 | |
| (763) 392-4052 |
| Full Name | Fairview Clinics-andover |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 13819 Hanson Blvd Nw, Andover, Minnesota |
| Authorized Official Name and Position | Robert Andrew Mccoy (VP REVENUE MANAGEMENT) |
| Authorized Official Contact | 6126726594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairview Clinics-andover Po Box 9372 Minneapolis MN 55440-9372 Ph: (612) 672-6724 | Fairview Clinics-andover 13819 Hanson Blvd Nw Andover MN 55304-7608 Ph: (763) 572-5700 |
| NPI Number | 1477734705 |
|---|---|
| Provider Enumeration Date | 11/15/2007 |
| Last Update Date | 10/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477734705 | NPI | - | NPPES |
| 45Q12CO | Other | MN | BCBS OF MN |
| 221544 | Other | MN | HEALTH PARTNERS |
| 507418000 | Medicaid | MN | |
| 122190 | Other | MN | UCARE MN |
| 98-00470 | Other | MN | MEDICA NUMBER |
| UC0003 | Other | MN | UCARE URGENT CARE |
| FP917 | Other | MN | PREFERRED ONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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