Organization
FAIRVIEW HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL MARIE MCCARTNEY (SYSTEM EXECUTIVE HME O&P)
(651) 632-9835
Entity
Organization
Contact information
Practice address
1925 WOODWINDS DR STE N1-055, WOODBURY, MN 55125-4445
(651) 683-7010
(651) 683-7011
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-6740
(612) 884-3592
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/16/2018
Last updated
05/13/2025
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