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Organization

FAIRVIEW HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL MARIE MCCARTNEY (SYSTEM EXECUTIVE HME O&P)
(651) 632-9835
Entity
Organization

Contact information

Practice address
1875 WOODWINDS DR STE 150, WOODBURY, MN 55125-2518
(651) 683-7000
(651) 683-7001
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-6740
(612) 884-3592

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
10/16/2018
Last updated
11/03/2025
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