Organization
FAIRVIEW HEALTH SERVICES
Active
Other names
Fairview Ridges Hospital - Physicians
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
201 E NICOLLET BLVD, BURNSVILLE, MN 55337-5714
(952) 892-2000
(952) 892-2107
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-6740
(612) 884-3592
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1913201
MHP
MN
01
—
267S6FA
BCBS
MN
01
—
300067
UCARE
MN
01
—
331262
UCARE
MN
01
—
42961
PREFERREDONE
MN
01
—
5042002
MEDICA
MN
05
—
570995000
—
MN
01
—
73770
HEALTHPARTNERS
MN
01
—
9807339
MEDICA
MN
01
—
9840068
MEDICA
MN
Enumeration date
10/10/2006
Last updated
02/27/2025
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