FAIRVIEW HEALTH SERVICES (NPI# 1396087433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396087433 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW HEALTH SERVICES |
| Other Organization Name | FAIRVIEW HOME MEDICAL EQUIPMENT |
| Practice Address |
5130 Fairview Blvd Suite 104 Wyoming MN 55092 |
| Mailing Address |
Po Box 1221 Minneapolis MN 55440-1221 |
| Practice Telephone | 6519827002 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |
| Authorized Official Name | DANIEL M FROMM (CFO) |
| Authorized Official Telephone | 6126724976 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Fairview Home Medical Equipment | 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 |
| 1104091131 | Fairview Health Services | Clinic/Center | 156 Cobblestone Ln, Burnsville, MN 55337-4578 | 2008-04-30 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAIRVIEW HEALTH SERVICES | 2450 Riverside Ave, Minneapolis, MN 55454-1450 |
| Street Address |
5130 FAIRVIEW BLVD SUITE 104 |
| City | WYOMING |
| State | MN |
| Zip Code | 55092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275875031 | Fairview Express Care | Clinic/Center | 5130 Fairview Blvd, Suite 101, Wyoming, MN 55092 | 2013-03-20 |
| 1386193613 | Fairview Express Care | Pain Medicine | 5130 Fairview Blvd, Ste 101, Wyoming, MN 55092-8050 | 2016-09-28 |
| 1437607488 | Jennifer Lynn Altnow | Physical Therapist | 5130 Fairview Blvd, Wyoming, MN 55092-8050 | 2016-09-20 |
| 1376922070 | Carli Lynn Ceder | Physical Therapist | 5130 Fairview Blvd, Wyoming, MN 55092 | 2015-05-27 |
| 1215315668 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 5130 Fairview Blvd, Suite 100, Wyoming, MN 55092-8050 | 2015-05-18 |
| 1598007726 | Fairview Health Services | Prosthetic/Orthotic Supplier | 5130 Fairview Blvd, Suite 103, Wyoming, MN 55092 | 2013-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
| 1851909436 | Matthew Rohlf | Dentist | 5378 E Viking Blvd, Wyoming, MN 55092 | 2020-07-20 |
| 1669013280 | Christina Marie Orde | Technician | 4855 261st Street, Wyoming, MN 55092 | 2019-10-04 |
| 1609425966 | Faith Bouttell | Technician | 25423 Heims Lake Circle, Wyoming, MN 55092 | 2019-09-10 |
| 1023385242 | St. Croix Orthopaedics, P.a. | Durable Medical Equipment & Medical Supplies | 5200 Fairview Blvd., Wyoming, MN 55092 | 2011-11-17 |
| 1902851876 | Tamara Piroska Petrac-halatsis | Obstetrics & Gynecology | 5200 Fairview Boulevard, Ob/gyn Department, Wyoming, MN 55092 | 2006-05-22 |
| 1023502697 | Molly Levy | Nurse Practitioner | 5200 Fairview Blvd, Wyoming, MN 55092 | 2018-06-18 |
| 1588028955 | Kevin Anthony Brueske | Pediatrics | 5200 Fairview Blvd, Wyoming, MN 55092 | 2016-04-11 |
| 1497192066 | Matthew David Torgeson | Surgery | 5200 Fairview Blvd, Wyoming, MN 55092 | 2013-05-22 |
| 1346493723 | Deanna J Nelson | Specialist/Technologist | 5200 Fairview Boulevard, Fairview Sports and Orthopedic Care, Wyoming, MN 55092 | 2008-10-29 |
| Find all providers in zip 55092 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511270 | Aspire Home Care Services LLC | Durable Medical Equipment & Medical Supplies | 295 Wyoming Ave Suite 2f, Wyoming, PA 18644-0274 | 2020-09-03 |
| 1093176752 | Rebound Medical of Pa LLC | Durable Medical Equipment & Medical Supplies | 1078 Wyoming Ave, Number 202, Wyoming, PA 18644-1331 | 2016-03-09 |
| 1942612874 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 355 54th St Sw, Wyoming, MI 49548-5614 | 2014-05-27 |
| 1023385242 | St. Croix Orthopaedics, P.a. | Durable Medical Equipment & Medical Supplies | 5200 Fairview Blvd., Wyoming, MN 55092 | 2011-11-17 |
| 1588994610 | Hoveround Corporation | Durable Medical Equipment & Medical Supplies | 3352 Lousma Dr Se Ste 402, Wyoming, MI 49548-2252 | 2010-01-13 |
| 1225215254 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5575 Byron Center Ave Sw, Wyoming, MI 49519-9603 | 2008-01-22 |
| 1578748398 | Wright & Filippis, LLC | Durable Medical Equipment & Medical Supplies | 2225 Main Street, Sw, Suite 150, Wyoming, MI 49519 | 2007-12-31 |
| 1740464585 | Wright & Filippis, LLC | Durable Medical Equipment & Medical Supplies | 2225 Main Street Sw, Suite 150, Wyoming, MI 49519 | 2007-12-27 |
| 1396843025 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1096 Wyoming Ave Midway Sc, Wyoming, PA 18644 | 2006-09-20 |
| 1770590754 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2829 Division Ave S, Wyoming, MI 49548-1152 | 2006-08-02 |
| Find all providers in WYOMING | ||||
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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.