Fairview Southdale Hospital is a medicare enrolled "General Acute Care Hospital" provider in Edina, Minnesota. Their current practice location is
6401 France Ave S, Edina, Minnesota. You can reach out to their office (for appointments etc.) via phone at
(952) 924-5000.
Fairview Southdale Hospital is licensed to practice in Minnesota (license number 00201) and it also participates in the medicare program. Fairview Southdale Hospital
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1699752915.
Healthcare Provider's Profile
| Full Name | Fairview Southdale Hospital |
|---|
| Type | Facility |
|---|
| Speciality | General Acute Care Hospital |
|---|
| Location | 6401 France Ave S, Edina, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1699752915
- Provider Enumeration Date: 12/28/2005
- Last Update Date: 11/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 1951213057
- Enrollment ID: O20060126000699
Medical Identifiers
Medical identifiers for Fairview Southdale Hospital such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699752915 | NPI | - | NPPES |
| 1006057 | Other | MN | PREFERREDONE |
| 17756TE | Other | MN | BCBS |
| 300075 | Other | MN | UCARE |
| 5000013 | Other | MN | MEDICA |
| 5000804 | Other | MN | MEDICA |
| 9840049 | Other | MN | MEDICA |
| 1014HFA | Other | MN | BCBS |
| 17 | Other | MN | HEALTHPARTNERS |
| 182050 | Other | MN | UCARE |
| 557045000 | Medicaid | MN | |
| 27581 | Other | MN | HEALTHPARTNERS |
| 557045067 | Medicaid | MN | |
| 6608279 | Other | MN | MEDICA |
| 9000019122 | Other | MN | MHP |
| 76896 | Other | MN | PREFERREDONE |
| 557045002 | Medicaid | MN | |
| 62035FA | Other | MN | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | 00201 (Minnesota) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fairview Southdale Hospital is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Fairview Southdale Hospital
Po Box 147,
Minneapolis, MN 55440-0147
Ph: (612) 672-6724 | Fairview Southdale Hospital
6401 France Ave S,
Edina, MN 55435-2104
Ph: (952) 924-5000 |
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