Organization
FAIRVIEW HEALTH SERVICES
Active
Other names
Fairview Orthotics and Prosthetics, Fairview Orthotics and Prosthetics, Fairview St Paul Orthotics and Prosthetics
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
2200 UNIVERSITY AVE W, STE 114, SAINT PAUL, MN 55114-1839
(651) 644-5808
(651) 644-5926
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-6740
(651) 884-3592
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122579
UCARE
MN
01
—
67Q55FA
BCBS
MN
05
—
752637700
—
MN
01
—
8200174
MEDICA
MN
01
—
8253
HEALTHPARTNERS
MN
Enumeration date
08/02/2006
Last updated
07/23/2026
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