Fraser

LBN: Fraser
Fraser is an health care organization with primary practice located at 2400 W 64Th St , Richfield MN 55423-1001. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Fraser can be contacted via phone (612) 861-1688, or through Olson, James D via phone (612) 798-8320.

Contact Information

Primary practice address
2400 W 64Th St Richfield MN 55423-1001
Phone: (612) 861-1688
Fax: (612) 861-6050
Website:
Map and Directions
Authorized official contact:
Name: Olson, James D
Phone: (612) 798-8320

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1063568574
LBN Legal business name Fraser
DBA Doing business as
Authorized official Olson, James D
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2007
Last updated Aug 12th, 2021 - about 3 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 1063568574 NPPES
Minnesota MEDICAID 166355100

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