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 Ring, Maureen via phone (612) 672-6740.

Contact Information

Primary practice address
6341 University Ave Ne Fridley MN 55432-4946
Phone: (763) 572-5700
Fax: (763) 586-5888
Website:
Map and Directions
Authorized official contact:
Name: Ring, Maureen
Phone: (612) 672-6740

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1942482740
LBN Legal business name Fairview Express Care
DBA Doing business as M Health Fairview Clinic - Fridley
Authorized official Ring, Maureen
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2007
Last updated Oct 4th, 2023 - about 2 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 1942482740 NPPES
Minnesota MEDICAID 819418000

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