Organization
FAIRVIEW CLINICS
Active
Organization
FAIRVIEW CLINICS
Active
Other names
M Health Fairview Clinic - Fridley
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
6341 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4946
(763) 572-5700
(763) 586-5888
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-6740
(612) 884-3592
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04953FR
BCBS OF MN
MN
01
—
104021
UCARE MN
MN
05
—
141955000
—
MN
01
—
221549
HEALTH PARTNERS
MN
05
—
819418000
—
MN
01
—
98-01409
MEDICA CLINIC NUMBER
MN
01
—
FP917
PREFERRED ONE
MN
Enumeration date
11/14/2007
Last updated
02/27/2025
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