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Contact Information

FAIRVIEW HEALTH SERVCIES
500 HARVARD ST SE RM 1550
MINNEAPOLIS, MN55455-0363
 Phone: 612-273-3200
 Fax: 612-273-4954
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for FAIRVIEW HEALTH SERVCIES

NPI Number 1407930159
LBN Legal business name FAIRVIEW HEALTH SERVCIES
Authorized official ROBERT BEACHER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2006
Last updated 12/13/2024 - More than a year ago
Identifiers
MN Medicaid 437976400
Other 2048469 PK
MN Other 2614119 PHARMACY LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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