Organization
FAIRVIEW CLINICS
Active
Other names
M Health Fairview Clinic - Blaine, Fairview Clinics-Blaine
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
10961 CLUB WEST PKWY, BLAINE, MN 55449-5866
(763) 572-5700
(763) 528-2945
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
01
—
181992
UCARE CLINIC NUMBER
MN
01
—
221546
HEALTH PARTNERS
MN
05
—
252198000
—
MN
01
—
380N5BL
BCBS OF MN
MN
01
—
98-98019
MEDICA
MN
01
—
FP917
PREFFERED ONE
MN
Enumeration date
11/15/2007
Last updated
02/28/2025
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