M Health Fairview Clinic - Eagan
LBN: Fairview Clinics
M Health Fairview Clinic - Eagan is an health care organization with primary practice located at 3305 Central Park Village Dr Suite 200, Eagan MN 55121-7707. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Fairview Clinics can be contacted via phone (651) 406-8860, or through Mccoy, Robert Andrew via phone (612) 672-6594.
Contact Information
Primary practice address
3305 Central Park Village Dr Suite 200
Eagan MN 55121-7707
Phone: (651) 406-8860
Fax: (651) 688-7864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X |
Profile Details
| NPI number | 1043402688 |
|---|---|
| LBN Legal business name | Fairview Clinics |
| DBA Doing business as | M Health Fairview Clinic - Eagan |
| Authorized official | Mccoy, Robert Andrew |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 17th, 2007 |
| Last updated | Oct 13th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043402688 | NPPES |
| Minnesota | MEDICAID | 752820502 |
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