FAIRVIEW CLINICS (NPI# 1679754998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679754998 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW CLINICS |
| Other Organization Name | M HEALTH FAIRVIEW CLINIC - BROOKLYN PARK |
| Practice Address |
10000 Zane Ave N Brooklyn Park MN 55443-1400 |
| Mailing Address |
Po Box 9372 Minneapolis MN 55440-9372 |
| Practice Telephone | 7635725700 |
| Practice Fax Number | 7635696200 |
| Mailing Telephone | 6126726724 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2020-11-02 |
| 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 | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | HEALTH PARTNERS | 221548 | 01 |
| MN | UCARE URGENT CARE | UC0022 | 01 |
| MN | 590015000 | 05 | |
| MN | MEDICA CLINIC NUMBER | 98-01410 | 01 |
| MN | PREFERRED ONE | FP917 | 01 |
| MN | BCBS OF MN | 02071BR | 01 |
| MN | UCARE MN | 104022 | 01 |
| Other Name | Type Code |
|---|---|
| Fairview Clinics-Brooklyn Park | Doing Business As Name - Organization |
| M Health Fairview Clinic - Brooklyn Park | Other Name - Individual/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 |
10000 ZANE AVE N |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55443-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457330656 | Arvin Mangasi Vocal | Internal Medicine | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2006-01-16 |
| 1023548559 | Hilary G Wilde | Dietitian, Registered | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2017-06-18 |
| 1760928683 | Michelle Justen | Social Worker | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2017-01-17 |
| 1205389798 | Brianna Koopman | Registered Nurse | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2016-08-01 |
| 1356749907 | Rebecca Rathjen | Social Worker | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2014-12-15 |
| 1689080566 | Abass Ahmed Basha | Physician Assistant | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2014-07-11 |
| 1235419326 | Katerina O. Belousova | Physician Assistant | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2011-08-22 |
| 1629357918 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2011-08-04 |
| 1780973610 | Fairview Express Care | Clinic/Center | 10000 Zane Ave N, Ste 202, Brooklyn Park, MN 55443-1400 | 2011-03-31 |
| 1437469350 | Fairview Health Services | Clinic/Center | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2010-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770100521 | El-lyon LLC | Home Health | 5501 88th Crescent North, Brooklyn Park, MN 55443 | 2020-06-28 |
| 1003431628 | Mercy Tasiame Quentin | Home Health | 7310 Unity Lane North, Brooklyn Park, MN 55443 | 2020-06-09 |
| 1386279719 | Andrew Sirlley Dogbe | Nursing Care | 8505 Xerxes Ln N, Brooklyn Park, MN 55443 | 2020-03-05 |
| 1952873630 | Melkezedek Care LLC | Home Health | 8525 N Edinbrook Crossing Suite 204, Brooklyn Park, MN 55443 | 2018-12-19 |
| 1487131330 | Grand St Paul Cvs L L C | Durable Medical Equipment & Medical Supplies | 4400 Oak Grove Parkway, Brooklyn Park, MN 55443 | 2018-07-24 |
| 1063901809 | Patient Centered Home Care Services, LLC. | Registered Nurse | 4127 Sunset Ter N, Brooklyn Park, MN 55443 | 2018-05-08 |
| 1093233942 | Ginni Ali | Registered Nurse | 7527 Yates Lane North, Brooklyn Park, MN 55443 | 2017-08-30 |
| 1437676335 | Uplifted Care Services LLC | Case Management | 3301 84th Ave, Brooklyn Park, MN 55443 | 2017-08-23 |
| 1912447780 | Zillah Mulubisha | Nurse Practitioner | Brooklyn Park Clinic, 7650 Zane Ave N, Minneapolis, MN 55443 | 2017-02-27 |
| 1356898985 | Abdul Kabba | Driver | 79oo Lad Parkway, Brooklyn Park, MN 55443 | 2016-09-01 |
| Find all providers in zip 55443 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215032743 | Columbia Park Medical Group, Pa | Clinic/Center | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855162 | The Duluth Clinic Ltd | Clinic/Center | 1600 Miller Trunk Hwy Ste 1300, Duluth, MN 55811-5640 | 2020-06-16 |
| 1184250060 | Premise Health of Minnesota Medical P C | Clinic/Center | 1906 8th St Nw, Austin, MN 55912-2473 | 2020-03-23 |
| 1053952606 | Fairview Express Care | Clinic/Center | 2512 6th Street, Suite F105, Minneapolis, MN 55454-1401 | 2019-10-04 |
| 1730731464 | St Marys Regional Health Center | Clinic/Center | 1103 1st St E, Park Rapids, MN 56470 | 2019-07-12 |
| 1003478892 | The Duluth Clinic Ltd | Clinic/Center | 4289 Ugstad Rd, Hermantown, MN 55811-3615 | 2019-07-02 |
| 1073005856 | Arbor Integrative Behavioral Health | Clinic/Center | 1000 E 1st St Ste 105, Duluth, MN 55805-2297 | 2018-06-06 |
| 1689161077 | Chs Tennessee Medical P C | Clinic/Center | 701 Brooks Ave S, Thief River Falls, MN 56701-2757 | 2018-04-20 |
| 1427557867 | Gillette Children's Specialty Healthcare | Clinic/Center | 505 Paul Bunyan Dr Nw, Bemidji, MN 56601-2400 | 2018-02-11 |
| 1992224331 | Orthopedic & Sports Physical Therapy, Inc. | Clinic/Center | 322 N Tower Rd, Fergus Falls, MN 56537-1015 | 2017-09-18 |
| 1003339789 | Centracare Clinic | Clinic/Center | 2025 Stearns Way Ste 114, Saint Cloud, MN 56303 | 2017-07-25 |
| Find all providers with the same taxonomy | ||||
| City | BROOKLYN PARK |
| Zip Code | 55443 |
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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.