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Fairview Health Services
Prosthetic/Orthotic Supplier in Blaine, Minnesota
NPI 1396708038

Fairview Health Services is a Prosthetic/Orthotic Supplier based in Saint Paul, MN. Fairview Health Services practices in Blaine, MN. The NPI Number for Fairview Health Services is 1396708038 and holds a License No. (Minnesota).

The current practice location address for Fairview Health Services is 10961 Club West Pkwy Ne, Blaine, MN and can be reached out via phone at 763-852-6401 and via fax at 763-852-6402.

Location: 10961 Club West Pkwy Ne, Blaine, MN, 55104-3727
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396708038
Provider Name
Fairview Health Services
Credential
Provider Entity Type
Organization
Address
10961 Club West Pkwy Ne, Blaine, MN, 55104-3727
Phone Number
763-852-6401
Fax Number
763-852-6402
Provider Enumeration Date
04/11/2006
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
67Q55FA 01 MN BCBS
290458600 05 MN
122572 01 MN UCARE
8200176 01 MN MEDICA
8253 01 MN HEALTHPARTNERS
institution
Provider Business Practice Location Address Details
Address
10961 Club West Pkwy Ne
City
Blaine
State
Minnesota
Zip
55449-5866
Phone Number
763-852-6401
Fax Number
763-852-6402
person
Provider Business Mailing Address Details
Address
10961 Club West Pkwy Ne
City
Blaine
State
Minnesota
Zip
55449-5866
Phone Number
763-852-6401
Fax Number
763-852-6402
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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