| Fairview Recovery Services | |
|
156 Cobblestone Ln Burnsville MN 55337-4578 | |
| (952) 892-2510 | |
| (952) 892-5674 |
| Full Name | Fairview Recovery Services |
|---|---|
| Speciality | Clinic/center |
| Location | 156 Cobblestone Ln, Burnsville, Minnesota |
| Authorized Official Name and Position | Daniel M Fromm (CFO) |
| Authorized Official Contact | 6126724976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairview Recovery Services Po Box 147 Minneapolis MN 55440-0147 Ph: (612) 672-6724 | Fairview Recovery Services 156 Cobblestone Ln Burnsville MN 55337-4578 Ph: (952) 892-2510 |
| NPI Number | 1104091131 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 02/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104091131 | NPI | - | NPPES |
| 590615600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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