FAIRVIEW CLINICS (NPI# 1649462508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649462508 |
Entity Type | Organization |
Organization Name | FAIRVIEW CLINICS |
Other Organization Name | FAIRVIEW CLINICS-APPLE VALLEY |
Practice Address |
15650 Cedar Ave Apple Valley MN 55124-7283 |
Mailing Address |
Po Box 9372 Minneapolis MN 55440-9372 |
Practice Telephone | 9529974100 |
Practice Fax Number | 9529974102 |
Mailing Telephone | 6126726724 |
Enumeration Date | 2007-08-15 |
Last Update Date | 2012-10-09 |
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 | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 752820501 | 05 |
Other Name | Type Code |
---|---|
Fairview Clinics-Apple Valley | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245875293 | Fairview Clinics | Clinic/Center | 12912 Farnham Ave N, White Bear Lake, MN 55110-5929 | 2019-11-14 |
1134773419 | Fairview Clinics | Clinic/Center | 322 E. Broadway Suite E322, Bloomington, MN 55425 | 2019-07-25 |
1245790211 | Fairview Clinics | General Practice | 303 E Nicollet Blvd Ste 260, Burnsville, MN 55337-4522 | 2019-03-25 |
1841560554 | Fairview Clinics | Clinic/Center | 5725 Loftus Dr, Savage, MN 55378-2717 | 2012-01-11 |
1306090568 | Fairview Clinics | Clinic/Center | 5366 386th St, North Branch, MN 55056-5129 | 2008-11-13 |
1851583637 | Fairview Clinics | Clinic/Center | 18580 Joplin Ave, Lakeville, MN 55044-4218 | 2007-08-15 |
1881673002 | Fairview Clinics | Clinic/Center | 1151 Silver Lake Rd Nw, New Brighton, MN 55112-6324 | 2006-01-16 |
1114551546 | Fairview Clinics | Clinic/Center | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2020-02-25 |
1306470737 | Fairview Clinics | Clinic/Center | 580 Rice St, Saint Paul, MN 55103-2148 | 2020-02-25 |
1124652557 | Fairview Clinics | Clinic/Center | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 | 2020-02-25 |
Street Address |
15650 CEDAR AVE |
City | APPLE VALLEY |
State | MN |
Zip Code | 55124-7283 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790786564 | Brian C Weitz | Family Medicine | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2005-08-03 |
1225524093 | Michelle Thuy Wong | Pharmacist | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2018-07-05 |
1326532755 | Brent Risser | Health Educator | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2018-06-19 |
1891240867 | Kelly Fern | Marriage & Family Therapist | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2016-08-19 |
1104278365 | April Coming Hay | Family Medicine | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2016-07-11 |
1417326778 | Andrea Bruns | Physician Assistant | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2015-09-16 |
1639574619 | Zachary Bolin | Physician Assistant | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2014-11-03 |
1760884928 | Lauren Elizabeth Gibbons | Physician Assistant | 15650 Cedar Ave, Apple Valley, MN 55124 | 2014-09-19 |
1396009247 | Nana A Wilmot-desouza | Family Medicine | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2012-06-26 |
1336430453 | Megan Pence | Family Medicine | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2011-04-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
1629612569 | Gadaa Care Transportation | Non-emergency Medical Transport (VAN) | 7296 157th St W, Apple Valley, MN 55124 | 2019-11-04 |
1356831515 | Dustin W Seabolt | Hearing Instrument Specialist | 15071 Dunwood Trl, Apple Valley, MN 55124 | 2018-05-14 |
1639687189 | Dentalign P.a. | Clinic/Center | 15875 Emperor Avenue, Apple Valley, MN 55124 | 2018-01-18 |
1982126926 | Apex Family Chiropractic LLC | Chiropractor | 15678 Pilot Knob Road, Suite 120, Apple Valley, MN 55124 | 2017-07-12 |
1821523028 | Robin Marie Parker | Nurse Practitioner | 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 | 2017-04-25 |
1134578826 | Ellen Denise Jacobson | Dentist | 14682 Pennock Avenue South, Apple Valley, MN 55124 | 2016-06-03 |
1831568708 | Clearriver Inc. | Home Health | 13790 Elkhart Rd, Apple Valley, MN 55124 | 2015-09-21 |
1265826879 | Next Level Fitness Co | Public Health or Welfare | 14645 Felton Ct, 104, Apple Valley, MN 55124 | 2015-03-20 |
1568872216 | Jon Butala | Marriage & Family Therapist | 4300 W 147th St., Suite 204, Apple Valley, MN 55124 | 2014-05-04 |
Find all providers in zip 55124 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942735923 | Andres A De La Llana Md Inc | Clinic/Center | 15982 Quantico Rd Ste C, Apple Valley, CA 92307-1382 | 2017-04-27 |
1639449960 | Damodara Rajasekhar, Md, A Medical Corporation | Clinic/Center | 18182 Outer Highway 18 Ste 103, Apple Valley, CA 92307-2200 | 2012-01-03 |
1043508559 | Southern California Primary Medical Inc | Clinic/Center | 19341 Bear Valley Rd Ste 101, Apple Valley, CA 92308 | 2011-07-18 |
1356526263 | Jaime C David Md Inc | Clinic/Center | 18419 Us Highway 18 Ste 6, Apple Valley, CA 92307-2333 | 2008-01-09 |
1316572563 | St. Jude Neighborhood Health Centers | Clinic/Center | 18077 Outer Hwy 18 Ste 100, Apple Valley, CA 92307-2168 | 2020-03-09 |
1043855208 | Hisham Abukamleh Md. Inc | Clinic/Center | 18144 Us Highway 18 Ste 140, Apple Valley, CA 92307-2219 | 2019-11-12 |
1083002257 | Desert Mountain Medical Group, Inc. | Clinic/Center | 18523 Corwin Rd Ste E, Apple Valley, CA 92307-2300 | 2014-12-22 |
1689844573 | Shatha Bakir, M.d., Inc. | Clinic/Center | 18523 Corwin Rd, Suite G, Apple Valley, CA 92307-2338 | 2008-03-06 |
1043407893 | Radiology & Imaging Consultants Pa | Clinic/Center | 7373 147th St W, Apple Valley, MN 55124-7690 | 2007-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003423252 | Good Clinic Mn Pllc | Clinic/Center | 315 1st Ave Ne, Minneapolis, MN 55413-5001 | 2020-09-30 |
1407496219 | Hope Health Initiative | Clinic/Center | 6818 Humboldt Ave N, Brooklyn Center, MN 55430-1536 | 2020-01-09 |
1902392525 | Odam Medical Group | Clinic/Center | 3405 3rd St N, Saint Cloud, MN 56303-4015 | 2018-07-06 |
1376041822 | Piic Clinical Services | Clinic/Center | 6500 Humboldt Ave N, Brooklyn Center, MN 55430-1800 | 2018-01-30 |
1760905475 | Patient Centered Care | Clinic/Center | 8240 Hampshire Ct N, Brooklyn Park, MN 55445 | 2017-07-25 |
1740703339 | Neopath | Clinic/Center | 119 30th Ave W Ste 119, Alexandria, MN 56308-3433 | 2017-07-25 |
1720500309 | Centracare Clinic | Clinic/Center | 2749 Sexton Drive, Mary Hall - Room 001, Collegeville, MN 56321 | 2017-07-14 |
1881116747 | Centracare Clinic | Clinic/Center | 402 Red River Ave N Ste 2, Cold Spring, MN 56320-1523 | 2017-07-12 |
1558898387 | Centracare Clinic | Clinic/Center | 161 Glen St., Ste 101, Foley, MN 56329 | 2017-05-11 |
1164958104 | Centracare Clinic | Clinic/Center | 113 Waite Ave S Ste 101, Waite Park, MN 56387-1348 | 2017-05-11 |
Find all providers with the same taxonomy |
City | APPLE VALLEY |
Zip Code | 55124 |
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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.