Organization
FAIRVIEW HEALTH SERVICES
Active
Other names
Fairview Northland Regional 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
911 NORTHLAND DR, PRINCETON, MN 55371-2172
(763) 389-1313
(763) 389-6306
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-6740
(612) 884-3592
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
282N00000X
General Acute Care Hospital
Primary
00408
MN
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1006066
PREFERREDONE
MN
01
—
140046
UCARE
MN
01
—
15F16VA
BCBS
MN
01
—
1814HFA
BCBS
MN
01
—
20103813
MHP
MN
01
—
24560FA
BCBS
MN
01
—
27581
HEALTHPARTNERS
MN
01
—
3943740
MEDICA
MN
01
—
5002
PREFERREDONE
MN
01
—
5002017
MEDICA
MN
05
—
710047700
—
MN
01
—
76895
PREFERREDONE
MN
01
—
8866
HEALTHPARTNERS
MN
01
—
980226003
MHP
MN
01
—
9840014
MEDICA
MN
Enumeration date
12/28/2005
Last updated
02/27/2025
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