Fairview Clinics-Prior Lake

LBN: Fairview Clinics
Fairview Clinics-Prior Lake is an health care organization with primary practice located at 4151 Willowwood St Se , Prior Lake MN 55372-4304. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Fairview Clinics can be contacted via phone (952) 226-2600, or through Fromm, Daniel M via phone (612) 672-4976.

Contact Information

Primary practice address
4151 Willowwood St Se Prior Lake MN 55372-4304
Phone: (952) 226-2600
Fax: (952) 226-2601
Website:
Map and Directions
Authorized official contact:
Name: Fromm, Daniel M
Phone: (612) 672-4976

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1568654341
LBN Legal business name Fairview Clinics
DBA Doing business as Fairview Clinics-Prior Lake
Authorized official Fromm, Daniel M
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2007
Last updated Oct 9th, 2012 - about 12 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 1568654341 NPPES
Minnesota MEDICAID 752820514

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