FAIRVIEW HEALTH SERVICES (NPI# 1104091131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104091131 |
Entity Type | Organization |
Organization Name | FAIRVIEW HEALTH SERVICES |
Other Organization Name | FAIRVIEW RECOVERY SERVICES |
Practice Address |
156 Cobblestone Ln Burnsville MN 55337-4578 |
Mailing Address |
Po Box 147 Minneapolis MN 55440-0147 |
Practice Telephone | 9528922510 |
Practice Fax Number | 9528925674 |
Mailing Telephone | 6126726724 |
Enumeration Date | 2008-04-30 |
Last Update Date | 2011-01-22 |
Authorized Official Name | MR. DANIEL M FROMM (CFO) |
Authorized Official Telephone | 6126724976 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 590615600 | 05 |
Other Name | Type Code |
---|---|
Fairview Recovery Services | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104392398 | Fairview Health Services | Durable Medical Equipment & Medical Supplies | 1875 Woodwinds Dr Ste 150, Woodbury, MN 55125-2518 | 2018-10-16 |
1114492014 | Fairview Health Services | Durable Medical Equipment & Medical Supplies | 827 N 6th Ave, Virginia, MN 55792-2308 | 2018-10-06 |
1023583929 | Fairview Health Services | Durable Medical Equipment & Medical Supplies | 1101 E 37th St Ste 18, Hibbing, MN 55746-2973 | 2018-10-06 |
1316422397 | Fairview Health Services | General Practice | 7411 85th Ave N, Brooklyn Park, MN 55445-2231 | 2018-09-26 |
1972084044 | Fairview Health Services | Durable Medical Equipment & Medical Supplies | 1925 Woodwinds Dr Ste N1-055, Woodbury, MN 55125-4445 | 2018-08-27 |
1881141349 | Fairview Health Services | Physical Therapist | 3305 Central Park Village Drive, Suite 130, Eagan, MN 55121-7707 | 2016-09-01 |
1093960742 | Fairview Health Services | General Acute Care Hospital | 13017 Lakeview Dr, Burnsville, MN 55337-3857 | 2008-11-22 |
1184899486 | Fairview Health Services | Clinic/Center | 1230 School St Nw, Elk River, MN 55330-2422 | 2008-04-28 |
1467416677 | Fairview Health Services | Clinic/Center | 650 Taft St Ne, Ste 400, Minneapolis, MN 55413-2832 | 2006-04-14 |
1235192006 | Fairview Health Services | Prosthetic/Orthotic Supplier | 14101 Fairview Drive, Ste 300, Burnsville, MN 55337-2537 | 2006-04-11 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | FAIRVIEW HEALTH SERVICES | 2450 Riverside Ave, Minneapolis, MN 55454-1450 |
Street Address |
156 COBBLESTONE LN |
City | BURNSVILLE |
State | MN |
Zip Code | 55337-4578 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760610661 | Fairview Health Services | Clinic/Center | 156 Cobblestone Ln, Burnsville, MN 55337-4578 | 2009-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
Find all providers in zip 55337 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275992141 | Mobile Chiropractic & Rehab, PC | Clinic/Center | 745 Crystal Lake Rd E, Burnsville, MN 55306-5174 | 2016-02-19 |
1144548181 | Caring Hands Family Health Care Clinic Inc | Clinic/Center | 369 Highway 72, Burnsville, MS 38833-9320 | 2010-05-15 |
1952591877 | Bmc LLC. | Clinic/Center | 603b Highway 365, Burnsville, MS 38833 | 2007-07-26 |
1285240630 | True North Chiropractic & Sports Medicine, P.a. | Clinic/Center | 14050 Fairview Dr, Burnsville, MN 55337-5713 | 2020-09-21 |
1982060075 | Fairview Health Services | Clinic/Center | 303 E Nicollet Blvd, Burnsville, MN 55337-4522 | 2016-01-06 |
1215350509 | Ridges Surgery Center LLC | Clinic/Center | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2014-01-23 |
1093143042 | Burnsville Center for Add and Addictions, L.L.C. | Clinic/Center | 1601 Southcross Dr W, Burnsville, MN 55306-7013 | 2013-10-29 |
1124377296 | Dakota Child and Family Clinic | Clinic/Center | 2530 Horizon Dr, Burnsville, MN 55337-3091 | 2012-09-05 |
1992075501 | Fairview Health Services | Clinic/Center | 14101 Fairview Dr, Suite 300, Burnsville, MN 55337-4590 | 2012-01-12 |
1760610661 | Fairview Health Services | Clinic/Center | 156 Cobblestone Ln, Burnsville, MN 55337-4578 | 2009-06-30 |
Find all providers in BURNSVILLE |
City | BURNSVILLE |
Zip Code | 55337 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.