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Organization

FAIRVIEW CLINICS

Active
Other names
M Health Fairview Clinic - Columbia Heights
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
4000 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421-2968
(763) 572-5700
(763) 782-8100
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
02991CO
BCBS OF MN
MN
01
104020
UCARE CLINIC NUMBER
MN
01
221547
HEALTH PARTNERS
MN
05
607482000
MN
01
98-01408
MEDICA CLINIC NUMBER
MN
01
FP917
PREFERRED ONE
MN
Enumeration date
12/03/2007
Last updated
02/27/2025
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