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Organization
FAIRVIEW HEALTH SERVICES
Active
Organization
FAIRVIEW HEALTH SERVICES
Active
Other names
Fairview Southdale Hospital - Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN V 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
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128125000
—
MN
01
—
17764TE
BCBS
MN
01
—
300075
UCARE
MN
01
—
331263
UCARE
MN
01
—
42961
PREFERREDONE
MN
01
—
5023736
MEDICA
MN
01
—
60328099
MHP
MN
01
—
73771
HEALTHPARTNERS
MN
01
—
9000019122
MHP
MN
01
—
9807338
MEDICA
MN
01
—
9866184
MEDICA
MN
Enumeration date
10/17/2006
Last updated
02/27/2025
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