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
6545 FRANCE AVE S, STE 450B, EDINA, MN 55435-2131
(952) 929-7717
(952) 929-4535
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-7601
(612) 884-3592
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110289
UCARE
MN
01
—
67Q55FA
BCBS
MN
05
—
757615300
—
MN
01
—
8200173
MEDICA
MN
01
—
8253
HEALTHPARTNERS
MN
Enumeration date
04/14/2006
Last updated
05/13/2025
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