FAIRVIEW HEALTH SERVICES (NPI# 1790226090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790226090 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW HEALTH SERVICES |
| Other Organization Name | FAIRVIEW COUNSELING CENTER |
| Practice Address |
760 W 4th St Rush City MN 55069-9063 |
| Mailing Address |
2450 Riverside Ave Minneapolis MN 55454-1450 |
| Practice Telephone | 6126726999 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |
| Authorized Official Name | DANIEL FROMM (CFO) |
| Authorized Official Telephone | 6126724976 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| 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 |
760 W 4TH ST |
| City | RUSH CITY |
| State | MN |
| Zip Code | 55069-9063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700846052 | Michelle M Nelson | Nurse Practitioner | 760 W 4th St, Rush City, MN 55069-9063 | 2006-03-23 |
| 1295989457 | Fairview Clinics | Clinic/Center | 760 W 4th St, Rush City, MN 55069-9063 | 2008-11-13 |
| 1013029263 | Julie A Vaneck | Family Medicine | 760 W 4th St, Rush City, MN 55069-9063 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235601121 | St Croix River Education District | Local Education Agency (LEA) | 425 South Dana Ave, Rush City, MN 55069 | 2018-12-18 |
| 1992217319 | Marianne Therese Anderson | Registered Nurse | 460 South Eliot Ave., Rush City, MN 55069 | 2017-10-25 |
| 1326566175 | Diane Rose Hardee | Registered Nurse | 460 Sout Eliot Ave., Rush City, MN 55069 | 2017-08-31 |
| 1043686280 | Kathryn Ann Long | Registered Nurse | 460 S. Eliot Ave., Rush City, MN 55069 | 2015-08-11 |
| 1801290507 | Rebecca Kay Allerton | Registered Nurse | 460 S. Ekuit Ave, Rush City, MN 55069 | 2014-10-09 |
| 1174786800 | Nicole Rosanna Perreault | Chiropractor | 263 W 4th Street, Rush City, MN 55069 | 2008-07-02 |
| 1518139203 | Soft Dental | Dentist | 350 Eliot Ave, Rush City, MN 55069 | 2008-04-02 |
| 1912184722 | Teen Focus Recovery Center | Community/Behavioral Health | 475 South Dana Aven, Rush City, MN 55069 | 2008-01-23 |
| 1861536559 | Rush City School District | Local Education Agency (LEA) | 51001 Fairfield Ave, Rush City, MN 55069 | 2007-02-16 |
| 1922181809 | William H E Kieper Dds Pa | Dentist | 780 West 4th Street, Rush City, MN 55069 | 2006-10-23 |
| Find all providers in zip 55069 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278444 | Sam Chafos Trewick | Counselor | 3237 Fremont Ave S, Minneapolis, MN 55408-3531 | 2020-09-08 |
| 1962026781 | Dylan Thaemert | Counselor | 2012 Bryant Ave S Ste 1, Minneapolis, MN 55405-2819 | 2020-06-08 |
| 1134742307 | Lyon Counseling LLC | Counselor | 4707 Highway 61 N # 1029, White Bear Lake, MN 55110-3227 | 2020-05-22 |
| 1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
| 1831735141 | Jon Walter Petersen | Counselor | 4136 Queen Ave S Apt 100, Minneapolis, MN 55410-1254 | 2019-11-21 |
| 1679118921 | Meredith Larson | Counselor | 5301 Kyler Ave Ne Ste 101, Albertville, MN 55301-4718 | 2019-11-11 |
| 1689217226 | Diane Sparish | Counselor | 7835 Main St N Ste 220, Maple Grove, MN 55369-7072 | 2019-10-28 |
| 1346883501 | Christine Lee Garwick-foley | Counselor | 10032 Quebec Ave S, Bloomington, MN 55438-2126 | 2019-10-21 |
| 1225687999 | Rebecca A Kreger | Counselor | 902 E 2nd St Ste 260, Winona, MN 55987-2640 | 2019-09-05 |
| 1790332195 | Esther Swen | Counselor | 2827 Newton Ave N, Minneapolis, MN 55411-1142 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
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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.