Organization
FAIRVIEW CLINICS
Active
Organization
FAIRVIEW CLINICS
Active
Other names
M Health Fairview Clinic - Maple Grove, Fairview Clinics-Maple Grove
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
14500 99TH AVE N, STE 100, MAPLE GROVE, MN 55369-4478
(763) 898-1000
(763) 898-1009
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-6740
(612) 884-3592
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
837428100
—
MN
Enumeration date
03/20/2007
Last updated
02/28/2025
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