| M Health Fairview Clinic - Columbia Heights | |
|
4000 Central Ave Ne Columbia Heights MN 55421-2968 | |
| (763) 572-5700 | |
| (763) 782-8100 |
| Full Name | M Health Fairview Clinic - Columbia Heights |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4000 Central Ave Ne, Columbia Heights, Minnesota |
| Authorized Official Name and Position | Robert Andrew Mccoy (VP REVENUE MANAGEMENT) |
| Authorized Official Contact | 6126726594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M Health Fairview Clinic - Columbia Heights Po Box 9372 Minneapolis MN 55440-9372 Ph: (612) 672-6724 | M Health Fairview Clinic - Columbia Heights 4000 Central Ave Ne Columbia Heights MN 55421-2968 Ph: (763) 572-5700 |
| NPI Number | 1346422318 |
|---|---|
| Provider Enumeration Date | 12/03/2007 |
| Last Update Date | 10/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346422318 | NPI | - | NPPES |
| 104020 | Other | MN | UCARE CLINIC NUMBER |
| 607482000 | Medicaid | MN | |
| 221547 | Other | MN | HEALTH PARTNERS |
| 98-01408 | Other | MN | MEDICA CLINIC NUMBER |
| FP917 | Other | MN | PREFERRED ONE |
| 02991CO | Other | MN | BCBS OF MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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