Fairview Clinics in Fridley - Multi-specialty
Fairview Clinics - NPI 1205017670
Fairview Clinics is a Multi-specialty in Fridley, Minnesota. Fairview Clinics practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Fairview Clinics is 1205017670. The last update date is 2020-10-14.
Fairview Clinics's current location address is 6341 University Ave Ne, Fridley, Minnesota. You can contact this provider via phone number 7635725700 and fax number 7635865888. The mailing address for Fairview Clinics is 6341 University Ave Ne, Fridley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fairview Clinics |
|---|---|
| Address | 6341 University Ave Ne, Fridley, Minnesota |
| Phone Number | 7635725700 |
| Fax Number | 7635865888 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP REVENUE |
|---|---|
| Authorized Official Name | Mccoy Andrew Robert |
| Telephone Number | 6126726594 |
NPI Number Detail
| NPI Number | 1205017670 |
|---|---|
| Provider Enumeration Date | 2007-11-14 |
| Last Updated Date | 2020-10-14 |
Provider Mailing Address Detail
| Address | 6341 University Ave Ne |
|---|---|
| City | Fridley |
| State | Minnesota (MN) |
| Post Code | 554324946 |
| Phone Number | 7635725700 |
| Fax Number | 7635865888 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 104021 | MN | UCARE MN | |
| 141955000 | MN | -- | |
| 819418000 | MN | -- | |
| 98-01409 | MN | MEDICA CLINIC NUMBER | |
| FP917 | MN | PREFERRED ONE | |
| 04953FR | MN | BCBS OF MN | |
| 221549 | MN | HEALTH PARTNERS |
Post Comment/ Review Below
What is the unique identification code assigned to Fairview Clinics by the Centers for Medicare & Medicaid Services?
The Fairview Clinics has been issued the NPI (National Provider Identifier) 1205017670. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Fairview Clinics is located?
The Fairview Clinics is situated at the following address: 6341 University Ave Ne, Fridley, MN, 554324946.
What is Fairview Clinics's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Fairview Clinics's specialized field of practice is Multi-specialty, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm1300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205017670 to Fairview Clinics?
The Centers for Medicare & Medicaid Services originally issued the 1205017670 to Fairview Clinics on 2007-11-14.
As of what date was the information regarding Fairview Clinics, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Fairview Clinics, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-10-14.
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