Organization
FAIRVIEW HEALTH SERVICES
Active
Other names
Fairview Orthotics and Prosthetics, Fairview Orthotics and Prosthetics, Fairview Burnsville Orthotics and Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
JILL MARIE MCCARTNEY (SYSTEM EXECUTIVE HME AND O&P)
(651) 632-9835
Entity
Organization
Contact information
Practice address
14101 FAIRVIEW DRIVE, STE 300, BURNSVILLE, MN 55337-2537
(952) 892-2043
(952) 892-2139
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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182494
UCARE
MN
01
—
67Q55FA
BCBS
MN
01
—
8200167
MEDICA
MN
01
—
8253
HEALTHPARTNERS
MN
05
—
913103500
—
MN
Enumeration date
04/11/2006
Last updated
07/23/2026
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