Organization
FAIRVIEW HEALTH SERVICES
Active
Other names
Fairview Home Medical Equipment
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
14101 FAIRVIEW DRIVE, SUITE 270, BURNSVILLE, MN 55337-2523
(952) 460-4940
(952) 460-4941
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-7601
(612) 884-3592
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182494
UCARE
MN
05
—
603407000
—
MN
01
—
77B78FA
BCBS
MN
01
—
8200708
MEDICA
MN
Enumeration date
08/04/2006
Last updated
05/13/2025
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