Organization
FAIRVIEW HEALTH SERVICES
Active
Other names
Fairview Orthotics and Prosthetics, Fairview Maplewood Orthotics and Prosthetics, Fairview Orthotics and Prosthetics
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
2945 HAZELWOOD ST STE 320, MAPLEWOOD, MN 55109
(651) 683-7050
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-7601
(612) 884-3592
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
07/23/2026
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