Fairview Clinics-Hiawatha

LBN: Fairview Clinics
Fairview Clinics-Hiawatha is an health care organization with primary practice located at 3809 42Nd Ave S , Minneapolis MN 55406-3503. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Fairview Clinics can be contacted via phone (612) 721-6261, or through Fromm, Daniel M via phone (612) 672-4976.

Contact Information

Primary practice address
3809 42Nd Ave S Minneapolis MN 55406-3503
Phone: (612) 721-6261
Fax: (612) 721-1691
Website:
Map and Directions
Authorized official contact:
Name: Fromm, Daniel M
Phone: (612) 672-4976

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1346432218
LBN Legal business name Fairview Clinics
DBA Doing business as Fairview Clinics-Hiawatha
Authorized official Fromm, Daniel M
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2007
Last updated Oct 9th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346432218 NPPES
Minnesota MEDICAID 752820510

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