MR. ROBERT FAIRBANKS (NPI# 1972146041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972146041 |
| Entity Type | Individual |
| Full Name | MR. ROBERT FAIRBANKS |
| Practice Address |
1038 Campbell Ave Detroit Lakes MN 56501-3202 |
| Practice Telephone | 2188504296 |
| Mailing Telephone | 2188504296 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | MN | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164702445 | Robert Daniel Fairbanks | Counselor | 200 N Anderson Ln, Lindon, UT 84042-1110 | 2011-08-18 |
| 1821084781 | Robert Kenneth Fairbanks | Radiology | 601 S Sherman St, Spokane, WA 99202-1311 | 2005-09-26 |
| Street Address |
1038 CAMPBELL AVE |
| City | DETROIT LAKES |
| State | MN |
| Zip Code | 56501-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1679068407 | Strive Chiropractic Detroit Lakes LLC | Chiropractor | 1852 Nodaway Drive, Detroit Lakes, MN 56501 | 2018-06-25 |
| 1194215830 | Jordan James Reese | Registered Nurse | 1295 Bay Ridge Dr, Detroit Lakes, MN 56501 | 2018-05-17 |
| 1992179386 | Compassion House | Substance Abuse Rehabilitation Facility | 811 8th St. Se, Detroit Lakes, MN 56501 | 2015-11-23 |
| 1720344286 | Lakes Crisis & Resource Center | Clinic/Center | 1339 Pelican Lane, Detroit Lakes, MN 56501 | 2012-04-09 |
| 1063657120 | Diane Jean Mccormack | Occupational Therapist | 15840 Long Lake Road, Detroit Lakes, MN 56501 | 2008-12-03 |
| 1588817928 | Darcy Caleb Olson | Counselor | 925 Lake Ave, Detroit Lakes, MN 56501 | 2008-10-29 |
| 1760651079 | Rapidcare Urgent Care Pllc | Family Medicine | 1361 Wenner Road, Detroit Lakes, MN 56501 | 2008-02-21 |
| 1427274729 | Jeffrey C Gregory | Psychologist | 910 Lincoln Ave, Detroit Lakes, MN 56501 | 2007-04-17 |
| 1144364894 | Midwest Vision Centers Inc | Eyewear Supplier (Equipment, not the service) | 830 Washington Avenue, Detroit Lakes, MN 56501 | 2007-02-16 |
| Find all providers in zip 56501 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467593251 | Lakes Medi-van Inc. | Non-emergency Medical Transport (VAN) | 16777 Longview Drive, Detroit Lakes, MN 56501 | 2007-02-12 |
| 1487765541 | Health Ride Van, LLC | Non-emergency Medical Transport (VAN) | 1240 Washington Ave, Detroit Lakes, MN 56501-3906 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193607 | Massaie Services Inc | Non-emergency Medical Transport (VAN) | 15 1st St Se Ste 220, Rochester, MN 55904-3800 | 2020-10-30 |
| 1487252383 | Amy Larayne Oothoudt | Non-emergency Medical Transport (VAN) | 13392 Thomas Dr, Little Falls, MN 56345-6110 | 2020-10-13 |
| 1548868680 | Mohamed A Mohamed | Non-emergency Medical Transport (VAN) | 2910 E Franklin Ave Apt 1011, Minneapolis, MN 55406-1140 | 2020-10-12 |
| 1710598487 | Advance Mobility | Non-emergency Medical Transport (VAN) | 7600 W 27th St Ste 213, St Louis Park, MN 55426-3163 | 2020-08-14 |
| 1154932507 | Mohamud B Habib | Non-emergency Medical Transport (VAN) | 9400 Earl St, Golden Valley, MN 55427-3741 | 2020-08-10 |
| 1073121315 | Twin Cities Pain Clinic Transportation, Inc. | Non-emergency Medical Transport (VAN) | 7225 Ohms Ln Ste 150, Edina, MN 55439-2172 | 2020-07-22 |
| 1922625490 | Ahmed B Jama | Non-emergency Medical Transport (VAN) | 1883 Deer Hills Trl, Eagan, MN 55122-2284 | 2020-07-01 |
| 1700403748 | Apple Express, LLC | Non-emergency Medical Transport (VAN) | 825 N Minnesota Ave, Saint Peter, MN 56082-2424 | 2020-06-25 |
| 1760002018 | Grace Home Healthcare Inc. | Non-emergency Medical Transport (VAN) | 216 E Main St Ste 5, Albert Lea, MN 56007-2982 | 2020-04-16 |
| 1992324230 | D Light Transportation LLC | Non-emergency Medical Transport (VAN) | 8001 61st Ave N, New Hope, MN 55428-2717 | 2020-04-15 |
| Find all providers with the same taxonomy | ||||
| City | DETROIT LAKES |
| Zip Code | 56501 |
Please comment or provide details below to improve the information on MR. ROBERT FAIRBANKS.
| 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.