| Fairview Clinics | |
|
4000 Central Ave Ne Columbia Heights MN 55421-2968 | |
| (763) 572-5700 | |
| (763) 782-8100 |
| Full Name | Fairview Clinics |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4000 Central Ave Ne, Columbia Heights, Minnesota |
| Authorized Official Name and Position | Maureen V Ring (SYS DIR GOVT REIMB & NETWK REL) |
| Authorized Official Contact | 6126726740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairview Clinics 1700 University Ave W Saint Paul MN 55104-3727 Ph: (612) 672-6740 | Fairview Clinics 4000 Central Ave Ne Columbia Heights MN 55421-2968 Ph: (763) 572-5700 |
| NPI Number | 1346422318 |
|---|---|
| Provider Enumeration Date | 12/03/2007 |
| Last Update Date | 02/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346422318 | NPI | - | NPPES |
| 607482000 | Medicaid | MN | |
| 104020 | Other | MN | UCARE CLINIC NUMBER |
| FP917 | Other | MN | PREFERRED ONE |
| 221547 | Other | MN | HEALTH PARTNERS |
| 98-01408 | Other | MN | MEDICA CLINIC NUMBER |
| 02991CO | Other | MN | BCBS OF MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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Columbia Park Medical Group, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4000 Central Ave Ne, Columbia Heights, MN 55421 Phone: 763-572-5710 Fax: 763-782-8100 | |
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