Organization
FAIRVIEW HEALTH SERVICES
Active
Other names
Fairview 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
5130 FAIRVIEW BLVD, SUITE 103, WYOMING, MN 55092
(651) 982-7006
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-6740
(612) 884-3592
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/26/2013
Last updated
05/13/2025
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