Organization
FAIRVIEW HEALTH SERVICES
Active
Other names
University of MN Medical Center, Fairview Renal Dialysis Center
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
2450 RIVERSIDE AVE, SUITE C2300, MINNEAPOLIS, MN 55454-1450
(612) 365-2300
(612) 365-2301
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-6740
(612) 884-3592
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
02098
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1006055
PREFERREDONE
MN
01
—
1012HRI
BCBS
MN
01
—
2
HEALTHPARTNERS
MN
01
—
300050
UCARE
MN
01
—
5000803
MEDICA
MN
05
—
616845106
—
MN
Enumeration date
12/29/2005
Last updated
02/24/2025
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