Organization · NPI-2
Fairview Health Services
Psychiatric Unit · Minneapolis, MN
NPI number1679121024
StatusActive
Last updated in NPPESFeb 27, 2025
Details
- NPI
- 1679121024
- Entity type
- Organization (NPI-2)
- Legal business name
- Fairview Health Services
- Organization subpart
- No
- Enumeration date
- Aug 29, 2019
- Certification date
- Feb 27, 2025
- Last updated
- Feb 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 273R00000X | Psychiatric Unit | – | – | Yes |
| 283Q00000X | Psychiatric Hospital | – | – |
Other names
- Ummc, Fairview (Psych Unit) (Doing Business As)
Practice location
2450 Riverside AveMinneapolis, MN 55454-1450
Phone 612-273-8700
Mailing address
1700 University Ave WSaint Paul, MN 55104-3727
Phone 612-672-6740 · Fax 612-884-3592
Authorized official
Maureen V Ring
Sys Dir Govt Reimb & Netwk Rel
6126726740
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