Fairview Center For Bladder Control

LBN: Fairview Clinics
Fairview Center For Bladder Control is an health care organization with primary practice located at 501 E Nicollet Blvd Ste 120, Burnsville MN 55337-6732. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Fairview Clinics can be contacted via phone (952) 460-4130, or through Fromm, Daniel M via phone (612) 672-4976.

Contact Information

Primary practice address
501 E Nicollet Blvd Ste 120 Burnsville MN 55337-6732
Fax: (952) 460-4131
Website:
Authorized official contact:
Name: Fromm, Daniel M

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1508050543
LBN Legal business name Fairview Clinics
DBA Doing business as Fairview Center For Bladder Control
Authorized official Fromm, Daniel M
Entity Organization
Organization subpart 1 No
Enumeration date Sep 4th, 2007
Last updated Apr 22nd, 2014 - about 10 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 1508050543 NPPES
Minnesota MEDICAID 188492000

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