Organization · NPI-2

Fairview Health Services

General Acute Care Hospital · Minneapolis, MN

NPI number1316008212
StatusActive
Last updated in NPPESFeb 19, 2025

Details

NPI
1316008212
Entity type
Organization (NPI-2)
Legal business name
Fairview Health Services
Organization subpart
No
Enumeration date
Dec 13, 2006
Certification date
Feb 19, 2025
Last updated
Feb 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
282N00000X General Acute Care Hospital––Yes
291U00000X Clinical Medical Laboratory––

Other names

  • Fairview Diagnostic Laboratory (Doing Business As)

Practice location

2450 Riverside Ave
Outreach Lab Department
Minneapolis, MN 55454-1450

Phone 612-273-7838

Mailing address

1700 University Ave W
Saint Paul, MN 55104-3727

Phone 612-672-6740 · Fax 612-884-3592

Other practice locations

500 Harvard St Se
Minneapolis, MN 55455-0363

Phone 855-324-7842 · Fax 612-672-6041

Authorized official

Maureen V Ring
Sys Dir Govt Reimb & Netwk Rel
6126726740

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