FAIRVIEW CLINICS (NPI# 1518111772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518111772 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW CLINICS |
| Other Organization Name | M HEALTH FAIRVIEW CLINIC - HUGO |
| Practice Address |
14712 Victor Hugo Blvd N Hugo MN 55038-4561 |
| Mailing Address |
Po Box 9372 Minneapolis MN 55440-9372 |
| Practice Telephone | 6514661900 |
| Practice Fax Number | 6514661999 |
| Mailing Telephone | 6126726724 |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2020-10-26 |
| Authorized Official Name | ROBERT ANDREW MCCOY (VP REVENUE MANAGEMENT) |
| Authorized Official Telephone | 6126726594 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fairview Clinics-Hugo | Doing Business As Name - Organization |
| M Health Fairview Clinic - Hugo | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245875293 | Fairview Clinics | Clinic/Center | 12912 Farnham Ave N, White Bear Lake, MN 55110-5929 | 2019-11-14 |
| 1134773419 | Fairview Clinics | Clinic/Center | 322 E. Broadway Suite E322, Bloomington, MN 55425 | 2019-07-25 |
| 1245790211 | Fairview Clinics | General Practice | 303 E Nicollet Blvd Ste 260, Burnsville, MN 55337-4522 | 2019-03-25 |
| 1841560554 | Fairview Clinics | Clinic/Center | 5725 Loftus Dr, Savage, MN 55378-2717 | 2012-01-11 |
| 1306090568 | Fairview Clinics | Clinic/Center | 5366 386th St, North Branch, MN 55056-5129 | 2008-11-13 |
| 1851583637 | Fairview Clinics | Clinic/Center | 18580 Joplin Ave, Lakeville, MN 55044-4218 | 2007-08-15 |
| 1881673002 | Fairview Clinics | Clinic/Center | 1151 Silver Lake Rd Nw, New Brighton, MN 55112-6324 | 2006-01-16 |
| 1114551546 | Fairview Clinics | Clinic/Center | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2020-02-25 |
| 1306470737 | Fairview Clinics | Clinic/Center | 580 Rice St, Saint Paul, MN 55103-2148 | 2020-02-25 |
| 1124652557 | Fairview Clinics | Clinic/Center | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 | 2020-02-25 |
| Street Address |
14712 VICTOR HUGO BLVD N |
| City | HUGO |
| State | MN |
| Zip Code | 55038-4561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992817142 | Christine E Gove | Family Medicine | 14712 Victor Hugo Blvd N, Hugo, MN 55038-6419 | 2006-08-31 |
| 1104312834 | Nicholas Lee Rudolph | Physical Therapist | 14712 Victor Hugo Blvd N, Hugo, MN 55038-6419 | 2018-07-05 |
| 1538500392 | Katy Ras | Pharmacist | 14712 Victor Hugo Blvd N, Hugo, MN 55038-6419 | 2013-07-09 |
| 1871939538 | Rebecca Pankratz | Physician Assistant | 14712 Victor Hugo Blvd N, Hugo, MN 55038-6419 | 2013-05-21 |
| 1497062814 | Amy Kauffman | Pharmacist | 14712 Victor Hugo Blvd N, Hugo, MN 55038-6419 | 2010-09-07 |
| 1275628661 | Kevin L Kampfe | Family Medicine | 14712 Victor Hugo Blvd N, Hugo, MN 55038-6419 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861948093 | Shanasi Mason | Counselor | 7041 20th Ave S, Centerville, MN 55038 | 2016-08-28 |
| 1982052601 | Patricia Morgan-john | Counselor | 1784 Steven Lane, Centerville, MN 55038 | 2016-06-03 |
| 1811356306 | Drytech Co. LLC | Contractor | 13483 Fenway Blvd Circle No., Hugo, MN 55038 | 2016-02-12 |
| 1750748422 | Lisa Chong Jou | Counselor | 7041 20th Avenue South, Centerville, MN 55038 | 2016-01-26 |
| 1285997577 | William Michael Beeves | Counselor | 7041 20th Avenue S, Centerville, MN 55038 | 2012-06-21 |
| 1720230089 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 14688 Everton Ave., Suite 101, Hugo, MN 55038 | 2008-10-17 |
| 1881868669 | Prili D Gandhi | Family Medicine | 14688 Everton Ave, He Hugo Clinic, Hugo, MN 55038 | 2008-04-14 |
| 1437276763 | Northeast Eye Care of Hugo | Optometrist | 14643 Mercantile Blvd, Suite 112, Hugo, MN 55038 | 2007-03-23 |
| 1134284631 | Hugo Dental Care Pa | Dentist | 5677 147th St N, Hugo, MN 55038 | 2006-12-26 |
| 1023172657 | Sean Patrick Bates | Dentist | 14755 Victor Hugo Blvd, Suite 103, Hugo, MN 55038 | 2006-12-20 |
| Find all providers in zip 55038 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174599088 | Choctaw Nation of Oklahoma | Clinic/Center | 410 North M, Hugo, OK 74743 | 2006-02-28 |
| 1215320320 | Irvin Medical Clinic | Clinic/Center | 1001 E Jackson St, Hugo, OK 74743-4225 | 2015-03-13 |
| 1427466259 | Rowland Flatt Clinic | Clinic/Center | 1201 E Jackson St, Hugo, OK 74743-4229 | 2014-07-24 |
| 1447529235 | Children's Clinic Network | Clinic/Center | 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 | 2011-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423252 | Good Clinic Mn Pllc | Clinic/Center | 315 1st Ave Ne, Minneapolis, MN 55413-5001 | 2020-09-30 |
| 1407496219 | Hope Health Initiative | Clinic/Center | 6818 Humboldt Ave N, Brooklyn Center, MN 55430-1536 | 2020-01-09 |
| 1902392525 | Odam Medical Group | Clinic/Center | 3405 3rd St N, Saint Cloud, MN 56303-4015 | 2018-07-06 |
| 1376041822 | Piic Clinical Services | Clinic/Center | 6500 Humboldt Ave N, Brooklyn Center, MN 55430-1800 | 2018-01-30 |
| 1760905475 | Patient Centered Care | Clinic/Center | 8240 Hampshire Ct N, Brooklyn Park, MN 55445 | 2017-07-25 |
| 1740703339 | Neopath | Clinic/Center | 119 30th Ave W Ste 119, Alexandria, MN 56308-3433 | 2017-07-25 |
| 1720500309 | Centracare Clinic | Clinic/Center | 2749 Sexton Drive, Mary Hall - Room 001, Collegeville, MN 56321 | 2017-07-14 |
| 1881116747 | Centracare Clinic | Clinic/Center | 402 Red River Ave N Ste 2, Cold Spring, MN 56320-1523 | 2017-07-12 |
| 1558898387 | Centracare Clinic | Clinic/Center | 161 Glen St., Ste 101, Foley, MN 56329 | 2017-05-11 |
| 1164958104 | Centracare Clinic | Clinic/Center | 113 Waite Ave S Ste 101, Waite Park, MN 56387-1348 | 2017-05-11 |
| Find all providers with the same taxonomy | ||||
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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.