Fairview Residential Treatment And Recovery Services For Adolescents

LBN: Fairview Health Services
Fairview Residential Treatment And Recovery Services For Adolescents is an health care organization with primary practice located at 1675 Beam Ave Ste 200 , Saint Paul MN 55109-1479. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Fairview Health Services can be contacted via phone (651) 213-8060, or through Ring, Maureen via phone (612) 672-6740.

Contact Information

Primary practice address
1675 Beam Ave Ste 200 Saint Paul MN 55109-1479
Phone: (651) 213-8060
Fax: (651) 257-9237
Website:
Map and Directions
Authorized official contact:
Name: Ring, Maureen
Phone: (612) 672-6740

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 830715 Minnesota

Profile Details

NPI number 1821263856
LBN Legal business name Fairview Health Services
DBA Doing business as Fairview Residential Treatment And Recovery Services For Adolescents
Authorized official Ring, Maureen
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2008
Last updated Oct 4th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1821263856 NPPES
Minnesota MEDICAID 684137000

Popular Providers