M Health Fairview Counseling Forest Lake

LBN: Fairview Express Care
M Health Fairview Counseling Forest Lake is an health care organization with primary practice located at 20 Lake St N Ste 210, Forest Lake MN 55025-2511. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Fairview Express Care can be contacted via phone (612) 672-6999, or through Mccoy, Robert Andrew via phone (612) 672-6594.

Contact Information

Primary practice address
20 Lake St N Ste 210 Forest Lake MN 55025-2511
Phone: (612) 672-6999
Fax: (651) 464-4847
Website:
Map and Directions
Authorized official contact:
Name: Mccoy, Robert Andrew
Phone: (612) 672-6594

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1386872281
LBN Legal business name Fairview Express Care
DBA Doing business as M Health Fairview Counseling Forest Lake
Authorized official Mccoy, Robert Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2009
Last updated Oct 26th, 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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