M Health Fairview Clinic - Fridley
LBN: Fairview Express Care
M Health Fairview Clinic - Fridley is an health care organization with primary practice located at 6341 University Ave Ne , Fridley MN 55432-4946. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty.
Fairview Express Care can be contacted via phone (763) 572-5700, or through Mccoy, Robert Andrew via phone (612) 672-6594.
Contact Information
Primary practice address
6341 University Ave Ne
Fridley MN 55432-4946
Phone: (763) 572-5700
Fax: (763) 586-5888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1518140706 |
|---|---|
| LBN Legal business name | Fairview Express Care |
| DBA Doing business as | M Health Fairview Clinic - Fridley |
| Authorized official | Mccoy, Robert Andrew |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 11th, 2007 |
| Last updated | Oct 26th, 2020 - about 5 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 | 1518140706 | NPPES |
| Minnesota | Other | 21140 | MEDICA EYEWARE |
| Minnesota | Other | 5C734CO | MEDICA EYEWARE |
| Minnesota | Other | 126906 | MEDICA EYEWARE |
| Minnesota | Other | 21-00011 | MEDICA EYEWARE |
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