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Contact Information

CITY OF FAIRFAX
112 1ST STREET SE
FAIRFAX, MN55332-0911
 Phone: 507-426-7255
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for CITY OF FAIRFAX

NPI Number 1770580664
LBN Legal business name CITY OF FAIRFAX
Authorized official KEVIN SCHAFER - (MAYOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2005
Last updated 09/28/2011 - About 15 years ago
Identifiers
MN License # 1898
MN Medicaid 030701148
MN Other 47127FA BLUE CROSS BLUE SHIELD
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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