FAIRVIEW HEALTH SERVICES (NPI# 1013145911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013145911 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW HEALTH SERVICES |
| Other Organization Name | FAIRVIEW COUNSELING CENTER |
| Practice Address |
911 Northland Dr Princeton MN 55371-2172 |
| Mailing Address |
Po Box 9372 Minneapolis MN 55440-9372 |
| Practice Telephone | 7633896326 |
| Practice Fax Number | 7633896455 |
| Mailing Telephone | 6126726724 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2011-01-22 |
| Authorized Official Name | MR. DANIEL M FROMM (CFO) |
| Authorized Official Telephone | 6126724976 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fairview Counseling Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104392398 | Fairview Health Services | Durable Medical Equipment & Medical Supplies | 1875 Woodwinds Dr Ste 150, Woodbury, MN 55125-2518 | 2018-10-16 |
| 1114492014 | Fairview Health Services | Durable Medical Equipment & Medical Supplies | 827 N 6th Ave, Virginia, MN 55792-2308 | 2018-10-06 |
| 1023583929 | Fairview Health Services | Durable Medical Equipment & Medical Supplies | 1101 E 37th St Ste 18, Hibbing, MN 55746-2973 | 2018-10-06 |
| 1316422397 | Fairview Health Services | General Practice | 7411 85th Ave N, Brooklyn Park, MN 55445-2231 | 2018-09-26 |
| 1972084044 | Fairview Health Services | Durable Medical Equipment & Medical Supplies | 1925 Woodwinds Dr Ste N1-055, Woodbury, MN 55125-4445 | 2018-08-27 |
| 1881141349 | Fairview Health Services | Physical Therapist | 3305 Central Park Village Drive, Suite 130, Eagan, MN 55121-7707 | 2016-09-01 |
| 1093960742 | Fairview Health Services | General Acute Care Hospital | 13017 Lakeview Dr, Burnsville, MN 55337-3857 | 2008-11-22 |
| 1104091131 | Fairview Health Services | Clinic/Center | 156 Cobblestone Ln, Burnsville, MN 55337-4578 | 2008-04-30 |
| 1184899486 | Fairview Health Services | Clinic/Center | 1230 School St Nw, Elk River, MN 55330-2422 | 2008-04-28 |
| 1467416677 | Fairview Health Services | Clinic/Center | 650 Taft St Ne, Ste 400, Minneapolis, MN 55413-2832 | 2006-04-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAIRVIEW HEALTH SERVICES | 2450 Riverside Ave, Minneapolis, MN 55454-1450 |
| Street Address |
911 NORTHLAND DR |
| City | PRINCETON |
| State | MN |
| Zip Code | 55371-2172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922085299 | Fairview Health Services | Pathology | 911 Northland Dr, Princeton, MN 55371-2172 | 2005-12-28 |
| 1912515388 | Fairview Express Care | General Practice | 911 Northland Dr, Princeton, MN 55371-2172 | 2020-07-21 |
| 1780226142 | Paul Moench | Physical Therapist | 911 Northland Dr, Princeton, MN 55371-2172 | 2019-10-17 |
| 1730652512 | Nicole Burrington | Speech-Language Pathologist | 911 Northland Dr, Princeton, MN 55371-2172 | 2019-01-04 |
| 1972015550 | Morgan Taubel | Dietitian, Registered | 911 Northland Dr, Princeton, MN 55371-2172 | 2017-11-03 |
| 1457871956 | Sara Jesse Gleason | Physical Therapist | 911 Northland Dr, Princeton, MN 55371-2172 | 2017-06-26 |
| 1952779266 | Fairview Health Services | Family Medicine | 911 Northland Dr, Princeton, MN 55371-2172 | 2015-09-03 |
| 1376929547 | Dominique Meyer | Nurse Practitioner | 911 Northland Dr, Princeton, MN 55371-2172 | 2015-08-10 |
| 1841673647 | Fairview Health Services | Family Medicine | 911 Northland Dr, Princeton, MN 55371-2172 | 2015-06-30 |
| 1013399112 | Breanna Peterson | Emergency Medicine | 911 Northland Dr, Princeton, MN 55371 | 2015-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053962530 | Monica Gail Broten | Technician | 30840 Tiger Street Nw, Princeton, MN 55371 | 2019-09-25 |
| 1215349584 | Stephen Destefano | Pharmacist | 31419 131st Street, Princeton, MN 55371 | 2014-05-21 |
| 1164798948 | Andrew Sudbeck | Counselor | 101 18th Avenue North, Princeton, MN 55371 | 2012-03-27 |
| 1073804803 | Sterling Pointe Senior Living LLC | Assisted Living Facility | 1250 Northland Drive, Princeton, MN 55371 | 2011-04-27 |
| 1568752533 | Rum River Health Services, Inc. | Substance Abuse Rehabilitation Facility | 3079 90th Avenue, Princeton, MN 55371 | 2011-04-12 |
| 1780989038 | Dr. Kynan Westermeyer, Dds, Pllc | Clinic/Center | 404 1st St. N, Princeton, MN 55371 | 2011-01-18 |
| 1275788085 | Cody James Leff | Pharmacist | 1100 11th Avenue South, Princeton, MN 55371 | 2008-11-20 |
| 1164679213 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1101 N 5th St, Princeton, MN 55371 | 2008-08-20 |
| 1801059639 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1506 1st Street, Princeton, MN 55371 | 2008-07-02 |
| 1497940928 | James Michael Mandt | Pharmacist | 911 Northland Drive, Fairview Northland Medical Center, Princeton, MN 55371 | 2007-09-07 |
| Find all providers in zip 55371 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760045579 | St Margaret's Hospital | Clinic/Center | 1916 N Main St, Princeton, IL 61356-9786 | 2019-04-17 |
| 1144638339 | Comprehensive Medical Associates of New Jersey P C | Clinic/Center | 100 Business Park Dr, Ground Level, Princeton, NJ 08542-0888 | 2014-07-31 |
| 1164698833 | Lamb Chiropractic Clinic, PC | Clinic/Center | 405 W State St, Suite 3, Princeton, IN 47670-1343 | 2008-05-02 |
| 1720145410 | Princeton/corner House | Clinic/Center | 1 Monument Dr, Princeton, NJ 08540-3406 | 2007-01-02 |
| 1154794774 | Princeton Medical Associates Pa | Clinic/Center | 10 Forrestal Rd S, Princeton, NJ 08540-6666 | 2015-11-04 |
| 1144415498 | Louis J. Foley, M.d. Gynecology, Ltd | Clinic/Center | 530 Park Ave E, Suite 205, Princeton, IL 61356-3901 | 2007-09-10 |
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| 1003434622 | Lost Lake Optical Company | Clinic/Center | 5240 Shady Island Cir, Mound, MN 55364-9222 | 2020-07-09 |
| 1811513310 | Prescribed By LLC | Clinic/Center | 701 Washington Ave N Ste 111-321, Minneapolis, MN 55401-2822 | 2020-06-19 |
| 1992320014 | Jtp Professional Service Corporation | Clinic/Center | 2038 Ford Pkwy # 444, Saint Paul, MN 55116-1931 | 2020-06-15 |
| 1689299125 | Altru Health System | Clinic/Center | 1st & Roosevelt, Karlstad, MN 56732 | 2020-06-10 |
| 1831710409 | Webmed LLC | Clinic/Center | 925 E Superior St Ste 113, Duluth, MN 55802-2253 | 2020-05-05 |
| 1073149779 | Functional Chiropractic Rehab, Pllc | Clinic/Center | 1901 Madison Ave Ste 120, Mankato, MN 56001-6267 | 2020-03-14 |
| 1225676067 | Liana Healthcare P.ll.c | Clinic/Center | 8348 Beard Rd, Bloomington, MN 55431-1028 | 2019-12-11 |
| 1245875293 | Fairview Clinics | Clinic/Center | 12912 Farnham Ave N, White Bear Lake, MN 55110-5929 | 2019-11-14 |
| 1275175242 | Hye-kyong Kim Therapy LLC | Clinic/Center | 1145 Grand Ave # 101, Saint Paul, MN 55105-2629 | 2019-10-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.