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Organization
FAIRVIEW HEALTH SERVICES
Active
Organization
FAIRVIEW HEALTH SERVICES
Active
Other names
Fairview Southdale Hospital, M Health Fairview Southdale Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN VERONICA-REGER RING (SYS DIR GOVT REIMB & NETWK REL)
(612) 672-6740
Entity
Organization
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-5000
(952) 924-5382
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-6740
(612) 884-3592
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
NULL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
282N00000X
General Acute Care Hospital
Primary
00201
MN
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
12/28/2005
Last updated
06/26/2026
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