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
2200 UNIVERSITY AVE W, STE 110, SAINT PAUL, MN 55114-1839
(651) 632-9800
(651) 632-9801
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-6740
(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
05
—
213650300
—
MN
Enumeration date
07/05/2005
Last updated
04/29/2025
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