Fairview Clinics-bloomington, Oxboro | |
600 W 98th St Bloomington MN 55420-4773 | |
(952) 885-6150 | |
(952) 885-6022 |
Full Name | Fairview Clinics-bloomington, Oxboro |
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Speciality | Clinic/Center |
Location | 600 W 98th St, Bloomington, Minnesota |
Authorized Official Name and Position | Daniel M Fromm (CFO) |
Authorized Official Contact | 6126724976 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fairview Clinics-bloomington, Oxboro Po Box 9372 Minneapolis MN 55440-9372 Ph: (612) 672-6724 | Fairview Clinics-bloomington, Oxboro 600 W 98th St Bloomington MN 55420-4773 Ph: (952) 885-6150 |
NPI Number | 1497992770 |
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Provider Enumeration Date | 01/08/2009 |
Last Update Date | 03/05/2015 |
Medicare PECOS PAC ID | 7113830142 |
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Medicare Enrollment ID | O20190613000375 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497992770 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
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