M Health Fairview Pain Clinic - Minneapolis
LBN: Fairview Express Care
M Health Fairview Pain Clinic - Minneapolis is an health care organization with primary practice located at 606 24Th Ave S Ste 600, Minneapolis MN 55454-5020. The organization recently has only one registered license in Ambulatory Health Care Facilities / Pain, which is considered as the primary health care specialty.
Fairview Express Care can be contacted via phone (612) 273-5400, or through Mccoy, Robert Andrew via phone (612) 672-6594.
Contact Information
Primary practice address
606 24Th Ave S Ste 600
Minneapolis MN 55454-5020
Phone: (612) 273-5400
Fax: (612) 273-9945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Pain | 261QP3300X |
Profile Details
| NPI number | 1457397150 |
|---|---|
| LBN Legal business name | Fairview Express Care |
| DBA Doing business as | M Health Fairview Pain Clinic - Minneapolis |
| Authorized official | Mccoy, Robert Andrew |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 21st, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457397150 | NPPES |
| Minnesota | Other | 173032 | UCARE |
| Minnesota | Other | 104855 | UCARE |
| Minnesota | MEDICAID | 648467100 | UCARE |
| Minnesota | Other | 72B50FA | UCARE |
| Minnesota | Other | 19122 | UCARE |
| Minnesota | Other | 96062 | UCARE |
| Minnesota | Other | 9805117 | UCARE |
| Minnesota | Other | 112516 | UCARE |
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