| Fairview Health Services | |
|
1675 Beam Ave Ste 200 Maplewood MN 55109-1479 | |
| (651) 779-2200 | |
| (651) 779-9989 |
| Full Name | Fairview Health Services |
|---|---|
| Speciality | Clinic/center |
| Location | 1675 Beam Ave Ste 200, Maplewood, 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 Health Services 1700 University Ave W Saint Paul MN 55104-3727 Ph: (612) 672-6740 | Fairview Health Services 1675 Beam Ave Ste 200 Maplewood MN 55109-1479 Ph: (651) 779-2200 |
| NPI Number | 1285809590 |
|---|---|
| Provider Enumeration Date | 04/28/2008 |
| Last Update Date | 02/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285809590 | NPI | - | NPPES |
| 758355900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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