# FAIRVIEW

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003196361
- **Authorized official:** MRS. JILL KATHLEEN PAYNE (CRNA)
- **Authorized official phone:** (507) 398-4791

## Contact information

- **Practice address:** 21282 INSPIRATION CT, LAKEVILLE, MN 55044-6027
- **Practice address phone:** (507) 398-4791
- **Mailing address:** 21282 INSPIRATION CT, LAKEVILLE, MN 55044-6027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | R 169601-5 | MN | Yes |

## Other

- **Enumeration date:** 08/18/2011
- **Last updated:** 10/14/2011