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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 282N00000X | General Acute Care Hospital | – | – | Yes |
| 291U00000X | Clinical Medical Laboratory | – | – |
Other names
- Fairview Diagnostic Laboratory (Doing Business As)
Practice location
2450 Riverside AveOutreach Lab Department
Minneapolis, MN 55454-1450
Phone 612-273-7838
Mailing address
1700 University Ave WSaint Paul, MN 55104-3727
Phone 612-672-6740 · Fax 612-884-3592
Other practice locations
500 Harvard St Se
Minneapolis, MN 55455-0363
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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