Organization
FAIRVIEW HEALTH SERVICES
Active
Other names
Fairview Southdale Hospital
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
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-5000
(952) 924-5382
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-6740
(612) 884-3592
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
282N00000X
General Acute Care Hospital
Primary
00201
MN
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1006057
PREFERREDONE
MN
01
—
1014HFA
BCBS
MN
01
—
17
HEALTHPARTNERS
MN
01
—
17756TE
BCBS
MN
01
—
182050
UCARE
MN
01
—
27581
HEALTHPARTNERS
MN
01
—
300075
UCARE
MN
01
—
5000013
MEDICA
MN
01
—
5000804
MEDICA
MN
05
—
557045000
—
MN
05
—
557045002
—
MN
05
—
557045067
—
MN
01
—
62035FA
BCBS
MN
01
—
6608279
MEDICA
MN
01
—
76896
PREFERREDONE
MN
01
—
9000019122
MHP
MN
01
—
9840049
MEDICA
MN
Enumeration date
12/28/2005
Last updated
02/27/2025
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