Behavioral Healthcare Providers

LBN: Fairview Express Care
Behavioral Healthcare Providers is an health care organization with primary practice located at 1700 University Ave W Fl 4 , Saint Paul MN 55104-3727. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Fairview Express Care can be contacted via phone (763) 525-9919, or through Ring, Maureen via phone (612) 672-6740.

Contact Information

Primary practice address
1700 University Ave W Fl 4 Saint Paul MN 55104-3727
Phone: (763) 525-9919
Fax: (763) 525-9918
Website:
Map and Directions
Authorized official contact:
Name: Ring, Maureen
Phone: (612) 672-6740

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 20213149 Minnesota

Profile Details

NPI number 1912066218
LBN Legal business name Fairview Express Care
DBA Doing business as Behavioral Healthcare Providers
Authorized official Ring, Maureen
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 1st, 2024 - about 2 months 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 1912066218 NPPES
Minnesota MEDICAID 287390700

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