FAIRVIEW HEALTH SERVICES


Address: 911 Northland Dr, L001, Princeton, MN 55371-2172
Phone: 7633897551

FAIRVIEW HEALTH SERVICES (NPI# 1861879330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861879330
Entity Type Organization
Organization Name FAIRVIEW HEALTH SERVICES
Other Organization Name FAIRVIEW ORTHOTICS AND PROSTHETICS
Practice Address 911 Northland Dr
L001
Princeton
MN 55371-2172
Mailing Address Po Box 1221
Minneapolis
MN 55440-1221
Practice Telephone 7633897551
Enumeration Date 2015-05-04
Last Update Date 2015-05-04
Authorized Official Name DANIEL FROMM (VP AND CFO)
Authorized Official Telephone 6126724976
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Other Provider/Organization Names

Other Name Type Code
Fairview Orthotics and Prosthetics Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities FAIRVIEW HEALTH SERVICES 2450 Riverside Ave, Minneapolis, MN 55454-1450

Office Location

Street Address 911 NORTHLAND DR
L001
City PRINCETON
State MN
Zip Code 55371-2172

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922085299 Fairview Health Services Pathology 911 Northland Dr, Princeton, MN 55371-2172 2005-12-28
1912515388 Fairview Express Care General Practice 911 Northland Dr, Princeton, MN 55371-2172 2020-07-21
1780226142 Paul Moench Physical Therapist 911 Northland Dr, Princeton, MN 55371-2172 2019-10-17
1730652512 Nicole Burrington Speech-Language Pathologist 911 Northland Dr, Princeton, MN 55371-2172 2019-01-04
1972015550 Morgan Taubel Dietitian, Registered 911 Northland Dr, Princeton, MN 55371-2172 2017-11-03
1457871956 Sara Jesse Gleason Physical Therapist 911 Northland Dr, Princeton, MN 55371-2172 2017-06-26
1952779266 Fairview Health Services Family Medicine 911 Northland Dr, Princeton, MN 55371-2172 2015-09-03
1376929547 Dominique Meyer Nurse Practitioner 911 Northland Dr, Princeton, MN 55371-2172 2015-08-10
1841673647 Fairview Health Services Family Medicine 911 Northland Dr, Princeton, MN 55371-2172 2015-06-30
1013399112 Breanna Peterson Emergency Medicine 911 Northland Dr, Princeton, MN 55371 2015-06-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053962530 Monica Gail Broten Technician 30840 Tiger Street Nw, Princeton, MN 55371 2019-09-25
1215349584 Stephen Destefano Pharmacist 31419 131st Street, Princeton, MN 55371 2014-05-21
1164798948 Andrew Sudbeck Counselor 101 18th Avenue North, Princeton, MN 55371 2012-03-27
1073804803 Sterling Pointe Senior Living LLC Assisted Living Facility 1250 Northland Drive, Princeton, MN 55371 2011-04-27
1568752533 Rum River Health Services, Inc. Substance Abuse Rehabilitation Facility 3079 90th Avenue, Princeton, MN 55371 2011-04-12
1780989038 Dr. Kynan Westermeyer, Dds, Pllc Clinic/Center 404 1st St. N, Princeton, MN 55371 2011-01-18
1275788085 Cody James Leff Pharmacist 1100 11th Avenue South, Princeton, MN 55371 2008-11-20
1164679213 Rum River Health Services, Inc Substance Abuse Rehabilitation Facility 1101 N 5th St, Princeton, MN 55371 2008-08-20
1801059639 Rum River Health Services, Inc Substance Abuse Rehabilitation Facility 1506 1st Street, Princeton, MN 55371 2008-07-02
1497940928 James Michael Mandt Pharmacist 911 Northland Drive, Fairview Northland Medical Center, Princeton, MN 55371 2007-09-07
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750558235 Setco Inc Prosthetic/Orthotic Supplier 532 S Main St, Princeton, IL 61356-2007 2008-05-13
1528192200 Excel Prosthetics & Orthotics, Inc. Prosthetic/Orthotic Supplier 807 Mercer St, Princeton, WV 24740-2907 2007-03-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619578648 Kanika Lanese Baker Prosthetic/Orthotic Supplier 7240 Brooklyn Blvd Ste 150, Brooklyn Park, MN 55429-1274 2020-11-05
1932758067 David Allen Young Prosthetic/Orthotic Supplier 1163 Wayzata Blvd E, Wayzata, MN 55391-1935 2019-09-11
1073080230 Rebound Orthotics & Prosthetics, Inc. Prosthetic/Orthotic Supplier 2805 Campus Dr Ste 101, Plymouth, MN 55441-2676 2018-10-25
1760998165 Abilitech Medical, Inc. Prosthetic/Orthotic Supplier 628 Pine St, Saint Paul, MN 55130-4421 2017-12-20
1003351990 Arise Orthotics & Prosthetics, Inc. Prosthetic/Orthotic Supplier 8338 Highway 65 Ne, Suite E, Spring Lake Park, MN 55432-1364 2016-12-30
1073065298 Language of Hair Prosthetic/Orthotic Supplier 1615 London Rd, Duluth, MN 55812-1620 2016-11-04
1275900664 Nordstrom Inc & Subsidiaries Prosthetic/Orthotic Supplier 12401 Wayzata Blvd, Minnetonka, MN 55305-1974 2015-09-01
1326483264 Prosthetic Specialties LLC Prosthetic/Orthotic Supplier 13143 Lake Place Rd, Zimmerman, MN 55398-9567 2013-05-06
1427300706 Rebound Orthotics & Prosthetics, Inc. Prosthetic/Orthotic Supplier 1073 Highway 15 S, Plaza 15, Hutchinson, MN 55350-3153 2012-10-10
1033461322 Rebound Orthotics & Prosthetics, Inc. Prosthetic/Orthotic Supplier 300 Catlin St Ste 104, Buffalo, MN 55313-2035 2012-10-10
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Competitor

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City PRINCETON
Zip Code 55371

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Dataset Information

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.

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