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Contact Information

FAIRVIEW HEALTH SERVCIES
2450 RIVERSIDE AVE
MINNEAPOLIS, MN55454-1450
 Phone: 612-672-4200
 Fax: 612-672-4076
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for FAIRVIEW HEALTH SERVCIES

NPI Number 1982788634
LBN Legal business name FAIRVIEW HEALTH SERVCIES
Authorized official DAVID FASCHING - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2006
Last updated 12/13/2024 - More than a year ago
Identifiers
MN Medicaid 380963300
Other 2045643 PK
MN Other 260947 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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