| Fairview Health Services | |
|
1675 Beam Ave Ste 200 Saint Paul MN 55109-1479 | |
| (651) 213-8060 | |
| (651) 257-9237 |
| Full Name | Fairview Health Services |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 1675 Beam Ave Ste 200, Saint Paul, Minnesota |
| Authorized Official Name and Position | Maureen V Ring (DIRECTOR NETWORK RELATIONS AO) |
| 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 Saint Paul MN 55109-1479 Ph: (651) 213-8060 |
| NPI Number | 1821263856 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 02/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821263856 | NPI | - | NPPES |
| 684137000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | 830715 (Minnesota) | Primary |
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