FAIRVIEW CLINICS (NPI# 1881673002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881673002 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW CLINICS |
| Other Organization Name | FAIRVIEW CLINICS-NEW BRIGHTON |
| Practice Address |
1151 Silver Lake Rd Nw New Brighton MN 55112-6324 |
| Mailing Address |
Po Box 9372 Minneapolis MN 55440-9372 |
| Practice Telephone | 6127064500 |
| Practice Fax Number | 6127816830 |
| Mailing Telephone | 6126726724 |
| Enumeration Date | 2006-01-16 |
| 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 | 752820511 | 05 |
| Other Name | Type Code |
|---|---|
| Fairview Clinics-New Brighton | 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 |
| 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 |
| 1811550155 | Fairview Clinics | Specialist | 1687 E Division St, River Falls, WI 54022-1571 | 2019-04-22 |
| Street Address |
1151 SILVER LAKE RD NW |
| City | NEW BRIGHTON |
| State | MN |
| Zip Code | 55112-6324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982120085 | Stephanie Boysen | Registered Nurse | 1151 Silver Lake Rd Nw, New Brighton, MN 55112-6324 | 2017-08-21 |
| 1851766059 | Fairview Health Services | Clinic/Center | 1151 Silver Lake Rd Nw, New Brighton, MN 55112-6324 | 2015-12-14 |
| 1790086411 | Laura K Stanz | Physician Assistant | 1151 Silver Lake Rd Nw, New Brighton, MN 55112-6324 | 2010-11-11 |
| 1326277872 | Heather Maracle Fahey | Pharmacist | 1151 Silver Lake Rd Nw, New Brighton, MN 55112-6324 | 2009-07-06 |
| 1356501621 | Fairview Pharmacy Services LLC | Pharmacy | 1151 Silver Lake Rd Nw, New Brighton, MN 55112-6324 | 2008-06-11 |
| 1043419450 | Lindsey K Locken | Physician Assistant | 1151 Silver Lake Rd Nw, New Brighton, MN 55112-6324 | 2007-07-16 |
| 1215045885 | Jennifer L Welsh | Family Medicine | 1151 Silver Lake Rd Nw, New Brighton, MN 55112-6324 | 2006-08-25 |
| 1245206192 | Jeffrey A Hanson | Family Medicine | 1151 Silver Lake Rd Nw, New Brighton, MN 55112-6324 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729704 | Owegio Wreh | Technician | 1405 Silver Lake Road Suite 15, New Brighton, MN 55112 | 2020-04-22 |
| 1205497435 | Silver Lake Smiles Family Dentistry | Clinic/Center | 2370 Palmer Drive, New Brighton, MN 55112 | 2019-06-27 |
| 1932766169 | Matthew Thomas Hanowski | Dentist | 2442 Mounds View Boulevard, Mounds View, MN 55112 | 2019-05-22 |
| 1437619988 | Marjean Diane Leary | Registered Nurse | 338 New Brighton Road, Apt, Suite, Bldg. (optional), New Brighton, MN 55112 | 2019-03-21 |
| 1558802728 | Krishna Katira | Student in an Organized Health Care Education/Training Program | 2442 County Hwy 10, Mounds View, MN 55112 | 2017-03-20 |
| 1245781608 | Evan Fredrick Lieberman | Counselor | 1900 Silver Lake Rd, Suite 110, New Brighton, MN 55112 | 2016-10-20 |
| 1093262065 | Ryan Zinken | Nurse Practitioner | 1900 Silver Lake Road, Suite 110, New Brighton, MN 55112 | 2016-09-07 |
| 1447703228 | Alison Glodek | Social Worker | 2543 17th St Nw, New Brighton, MN 55112 | 2016-07-28 |
| 1659728194 | Ge Vang Sr. | Driver | 2160 County Road E West #205, 2160 County Road E West #205, New Brighton, MN 55112 | 2016-05-14 |
| 1114373578 | Jessica Gapinski | Specialist/Technologist | 3900 Bethel Drive, Arden Hills, MN 55112 | 2016-05-04 |
| Find all providers in zip 55112 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| 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 | NEW BRIGHTON |
| Zip Code | 55112 |
Please comment or provide details below to improve the information on FAIRVIEW CLINICS.
| 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.