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Fairmont Orthopedics & Sports Medicine, Pa
VA Clinic/Center in Fairmont, Minnesota
NPI 1134173644

Fairmont Orthopedics & Sports Medicine, Pa is a VA Clinic/Center based in Fairmont, MN and is specialized in VA. Fairmont Orthopedics & Sports Medicine, Pa practices in Fairmont, MN. The NPI Number for Fairmont Orthopedics & Sports Medicine, Pa is 1134173644 and holds a License No. (Minnesota).

The current practice location address for Fairmont Orthopedics & Sports Medicine, Pa is 717 S State St, Fairmont, MN and can be reached out via phone at 507-238-4949 and via fax at 507-238-3377.

Location: 717 S State St, Fairmont, MN, 56031-4400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134173644
Provider Name
Fairmont Orthopedics & Sports Medicine, Pa
Credential
Provider Entity Type
Organization
Address
717 S State St, Fairmont, MN, 56031-4400
Phone Number
507-238-4949
Fax Number
507-238-3377
Provider Enumeration Date
05/20/2006
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
112399 01 UCARE
40645WE 01 MN BLUE CROSS BLUE SHIELD
590024700 05 MN
27084 01 SANFORD HEALTH
396G2PR 01 MN BLUE CROSS BLUE SHIELD
09809248 01 MEDICA
138808700 01 US DEPT OF LABOR
29394 01 HEALTHPARTNERS
29D51FA 01 MN BLUE CROSS BLUE SHIELD CHIROPRACTIC
974311025203 01 PREF ONE
CB1729 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
717 S State St
City
Fairmont
State
Minnesota
Zip
56031-4469
Phone Number
507-238-4949
Fax Number
507-238-3377
person
Provider Business Mailing Address Details
Address
717 S State St
City
Fairmont
State
Minnesota
Zip
56031-4469
Phone Number
507-238-4949
Fax Number
507-238-3377
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
()
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
261QP1100X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
VA
Taxonomy
261QV0200X
License No.
()
Definition
Definition to come...
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