Fairview Clinics-Bass Lake

LBN: Fairview Clinics
Fairview Clinics-Bass Lake is an health care organization with primary practice located at 6320 Wedgewood Rd N , Maple Grove MN 55311-3647. 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 (763) 268-0400, or through Ring, Maureen via phone (612) 672-6740.

Contact Information

Primary practice address
6320 Wedgewood Rd N Maple Grove MN 55311-3647
Phone: (763) 268-0400
Fax: (763) 268-0405
Website:
Map and Directions
Authorized official contact:
Name: Ring, Maureen
Phone: (612) 672-6740

Health care specialties

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

Profile Details

NPI number 1790977486
LBN Legal business name Fairview Clinics
DBA Doing business as Fairview Clinics-Bass Lake
Authorized official Ring, Maureen
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2007
Last updated Oct 4th, 2023 - about 3 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 1790977486 NPPES
Minnesota MEDICAID 156927000

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