Organization
FAIRVIEW EXPRESS CARE
Active
Organization
FAIRVIEW EXPRESS CARE
Active
Other names
M Health Fairview Counseling Forest Lake
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ANDREW MCCOY (VP REVENUE MANAGEMENT)
(612) 672-6594
Entity
Organization
Contact information
Practice address
20 LAKE ST N, STE 210, FOREST LAKE, MN 55025-2511
(612) 672-6999
(651) 464-4847
Mailing address
PO BOX 9372, MINNEAPOLIS, MN 55440-9372
(612) 672-6724
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2009
Last updated
10/26/2020
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