| Fairview Clinics-blaine | |
|
10961 Club West Pkwy Blaine MN 55449-5866 | |
| (763) 572-5700 | |
| (763) 528-2945 |
| Full Name | Fairview Clinics-blaine |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 10961 Club West Pkwy, Blaine, Minnesota |
| Authorized Official Name and Position | Maureen Ring (DIRECTOR NETWORK RELATIONS AO) |
| Authorized Official Contact | 6126726740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairview Clinics-blaine Po Box 9372 Minneapolis MN 55440-9372 Ph: (612) 672-6724 | Fairview Clinics-blaine 10961 Club West Pkwy Blaine MN 55449-5866 Ph: (763) 572-5700 |
| NPI Number | 1972784205 |
|---|---|
| Provider Enumeration Date | 11/15/2007 |
| Last Update Date | 10/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972784205 | NPI | - | NPPES |
| 181992 | Other | MN | UCARE CLINIC NUMBER |
| 98-98019 | Other | MN | MEDICA |
| FP917 | Other | MN | PREFFERED ONE |
| 252198000 | Medicaid | MN | |
| 221546 | Other | MN | HEALTH PARTNERS |
| 380N5BL | Other | MN | BCBS OF MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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