Organization
FAIRVIEW HEALTH SERVICES
Active
Other names
University of MN Medical Center, Fairview
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
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
(612) 273-4098
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
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
282N00000X
General Acute Care Hospital
Primary
00200
MN
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055755200
—
MN
01
—
1012HRI
BCBS
MN
01
—
1012PRI
BCBS
MN
01
—
1012RRI
BCBS
MN
05
—
170128200
—
MN
05
—
265497100
—
MN
01
—
339R1FA
BCBS
MN
01
—
35A80FA
BCBS
MN
05
—
387355200
—
MN
01
—
3M361FA
BCBS
MN
05
—
590615600
—
MN
05
—
616845100
—
MN
05
—
616845102
—
MN
05
—
616845167
—
MN
05
—
684137000
—
MN
05
—
712649200
—
MN
05
—
758355900
—
MN
05
—
896402500
—
MN
Enumeration date
12/28/2005
Last updated
02/19/2025
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