Organization · NPI-2

Fairview

General Acute Care Hospital · Minneapolis, MN

NPI number1720434228
StatusActive
Last updated in NPPESMay 13, 2016

Details

NPI
1720434228
Entity type
Organization (NPI-2)
Legal business name
Fairview
Organization subpart
No
Enumeration date
May 13, 2016
Last updated
May 13, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
282N00000X General Acute Care HospitalR-1606555MNYes

Practice location

2450 Riverside Ave
Nicu
Minneapolis, MN 55454-1450

Phone 612-273-7032

Mailing address

2450 Riverside Ave
Nicu
Minneapolis, MN 55454-1450

Authorized official

Darla Nyquist
Nnp Superviser
6122737032

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