M Health Fairview Orthopedic Clinic -Ridges

LBN: Fairview Express Care
M Health Fairview Orthopedic Clinic -Ridges is an health care organization with primary practice located at 14101 Fairview Drive Ste 300, Burnsville MN 55337-2537. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Fairview Express Care can be contacted via phone (952) 892-2650, or through Mccoy, Robert Andrew via phone (612) 672-6594.

Contact Information

Primary practice address
14101 Fairview Drive Ste 300 Burnsville MN 55337-2537
Fax:
Website:
Authorized official contact:
Name: Mccoy, Robert Andrew

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1083806772
LBN Legal business name Fairview Express Care
DBA Doing business as M Health Fairview Orthopedic Clinic -Ridges
Authorized official Mccoy, Robert Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2007
Last updated Oct 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083806772 NPPES
Minnesota MEDICAID 133401800

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