Organization
FAIRVIEW HEALTH SERVICES
Active
Other names
M Health Fairview Lakes Medical Center
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
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 982-7000
(651) 982-7110
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
—
—
208M00000X
Hospitalist Physician
—
—
282N00000X
General Acute Care Hospital
Primary
342932
MN
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110294
HEALTHPARTNERS
MN
01
—
124637
UCARE
MN
01
—
140045
UCARE
MN
01
—
1640HDI
BCBS
MN
01
—
19718
PREFERREDONE
MN
01
—
2116219
MEDICA
MN
01
—
27581
HEALTHPARTNERS
MN
01
—
300982
UCARE
MN
01
—
429880
MEDICA
MN
01
—
468S0FA
BCBS
MN
01
—
4986
PREFERREDONE
MN
01
—
5025460
MEDICA
MN
05
—
792825400
—
MN
01
—
9801057
MEDICA
MN
Enumeration date
01/02/2006
Last updated
02/19/2025
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