| Ummc, Fairview (psych Unit) | |
|
2450 Riverside Ave Minneapolis MN 55454-1450 | |
| (612) 273-8700 | |
| Not Available |
| Full Name | Ummc, Fairview (psych Unit) |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2450 Riverside Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Maureen Ring (DIRECTOR NETWORK RELATIONS AO) |
| Authorized Official Contact | 6126726740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ummc, Fairview (psych Unit) 2450 Riverside Ave Minneapolis MN 55454-1450 Ph: (612) 273-8700 | Ummc, Fairview (psych Unit) 2450 Riverside Ave Minneapolis MN 55454-1450 Ph: (612) 273-8700 |
| NPI Number | 1679121024 |
|---|---|
| Provider Enumeration Date | 08/29/2019 |
| Last Update Date | 11/30/2023 |
| Certification Date | 11/30/2023 |
| Medicare PECOS PAC ID | 1951213057 |
|---|---|
| Medicare Enrollment ID | O20191220000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679121024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
| 283Q00000X | Psychiatric Hospital | (* (Not Available)) | Secondary |
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