Fairview Recovery Services

LBN: Fairview Health Services
Fairview Recovery Services is an health care organization with primary practice located at 20 Lake St N Ste 210, Forest Lake MN 55025-2523. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Fairview Health Services can be contacted via phone (612) 672-1500, or through Ring, Maureen via phone (612) 672-6740.

Contact Information

Primary practice address
20 Lake St N Ste 210 Forest Lake MN 55025-2523
Phone: (612) 672-1500
Fax: (651) 464-4847
Website:
Map and Directions
Authorized official contact:
Name: Ring, Maureen
Phone: (612) 672-6740

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1538334842
LBN Legal business name Fairview Health Services
DBA Doing business as Fairview Recovery Services
Authorized official Ring, Maureen
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2008
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 1538334842 NPPES
Minnesota MEDICAID 896402500

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