Fairview Geriatric Services

LBN: Fairview Clinics
Fairview Geriatric Services is an health care organization with primary practice located at 1700 University Ave W Fl 1 , Saint Paul MN 55104-3727. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Fairview Clinics can be contacted via phone (952) 836-3637, or through Mccoy, Robert Andrew via phone (612) 672-7272.

Contact Information

Primary practice address
1700 University Ave W Fl 1 Saint Paul MN 55104-3727
Fax:
Website:
Authorized official contact:
Name: Mccoy, Robert Andrew

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1215129853
LBN Legal business name Fairview Clinics
DBA Doing business as Fairview Geriatric Services
Authorized official Mccoy, Robert Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2007
Last updated Feb 8th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215129853 NPPES
Minnesota MEDICAID 752820500

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