FAIRVIEW EXPRESS CARE (NPI# 1518140706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518140706 |
Entity Type | Organization |
Organization Name | FAIRVIEW EXPRESS CARE |
Other Organization Name | M HEALTH FAIRVIEW CLINIC - FRIDLEY |
Practice Address |
6341 University Ave Ne Fridley MN 55432-4946 |
Mailing Address |
Po Box 9372 Minneapolis MN 55440-9372 |
Practice Telephone | 7635725700 |
Practice Fax Number | 7635865888 |
Mailing Telephone | 6126726724 |
Enumeration Date | 2007-12-11 |
Last Update Date | 2020-10-26 |
Authorized Official Name | ROBERT ANDREW MCCOY (VP REVENUE MANAGEMENT) |
Authorized Official Telephone | 6126726594 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | MEDICA EYEWARE | 21140 | 01 |
MN | EYECRAFT LAB | 21-00011 | 01 |
MN | UCARE EYEWARE | 126906 | 01 |
MN | BCBS EYEWARE | 5C734CO | 01 |
Other Name | Type Code |
---|---|
Fairview Fridley Clinic (Eyewear) | Doing Business As Name - Organization |
M Health Fairview Clinic - Fridley | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053952606 | Fairview Express Care | Clinic/Center | 2512 6th Street, Suite F105, Minneapolis, MN 55454-1401 | 2019-10-04 |
1275875031 | Fairview Express Care | Clinic/Center | 5130 Fairview Blvd, Suite 101, Wyoming, MN 55092 | 2013-03-20 |
1407834302 | Fairview Express Care | Clinic/Center | 2600 39th Ave Ne, Ste 220, Minneapolis, MN 55421-4379 | 2006-01-03 |
1871101238 | Fairview Express Care | General Practice | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-07-21 |
1831707207 | Fairview Express Care | General Practice | 6401 France Ave S, Edina, MN 55435-2104 | 2020-07-21 |
1568070936 | Fairview Express Care | General Practice | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2020-07-21 |
1912515388 | Fairview Express Care | General Practice | 911 Northland Dr, Princeton, MN 55371-2172 | 2020-07-21 |
1902414378 | Fairview Express Care | General Practice | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2020-07-21 |
1679048763 | Fairview Express Care | Specialist | 400 Stinson Blvd, Minneapolis, MN 55413-2614 | 2018-10-04 |
1346722675 | Fairview Express Care | General Practice | 400 Stinson Blvd, Minneapolis, MN 55413-2613 | 2018-09-04 |
Street Address |
6341 UNIVERSITY AVE NE |
City | FRIDLEY |
State | MN |
Zip Code | 55432-4946 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912968546 | Barbara Anne Bank | Family Medicine | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2006-03-31 |
1154980068 | Autumn Michelle Phenow | Social Worker | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2019-06-13 |
1649764069 | Joni Lager | Health Educator | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2018-06-19 |
1467978213 | Jaclyn Rust | Pharmacist | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2017-08-14 |
1053841569 | Steven Alex Rizzi | Optometrist | 6341 University Ave Ne, Fridley, MN 55432 | 2017-06-16 |
1639613318 | Fairview Health Services | Counselor | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2016-12-14 |
1497162721 | Laura Lorraine Hilker | Nurse Practitioner | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2014-07-18 |
1861838971 | Lois Finney | Dietitian, Registered | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2013-05-15 |
1831443480 | Andrew Allan Link | Physician Assistant | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2012-11-05 |
1962769125 | Michael Brian Macintire | Family Medicine | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2012-04-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
Find all providers in zip 55432 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942482740 | Fairview Health Services | Eyewear Supplier (Equipment, not the service) | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2007-12-04 |
1588732531 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 755 53rd Ave Ne, Fridley, MN 55421-1240 | 2006-11-30 |
1205933611 | Columbia Park Medical Group, Pa | Eyewear Supplier (Equipment, not the service) | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801493903 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 11995 Business Park Blvd N, Champlin, MN 55316 | 2020-10-02 |
1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
1891351268 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1101 E College Dr, Marshall, MN 56258-2366 | 2019-05-11 |
1730745100 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1459 W Service Dr, Winona, MN 55987-2512 | 2019-05-11 |
1649836016 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1023 E Blue Earth Ave, Fairmont, MN 56031-4076 | 2019-05-11 |
1124684592 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1004 18th Ave Nw Ste D, Austin, MN 55912-1993 | 2019-05-11 |
1053977421 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1620 Broadway Ave S Ste 4, Rochester, MN 55904-7927 | 2019-05-11 |
1942866371 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 4051 W Division St Ste A, Saint Cloud, MN 56301-3741 | 2019-05-10 |
1831651165 | Don Sealock, O.d., P.a. | Eyewear Supplier (Equipment, not the service) | 3366 Oakdale Ave N Ste 140, Robbinsdale, MN 55422-2961 | 2019-04-04 |
1538624341 | Don Sealock, O.d., P.a. | Eyewear Supplier (Equipment, not the service) | 9825 Hospital Dr # 106, Maple Grove, MN 55369-4479 | 2019-02-06 |
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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.