M Health Fairview Clinic - Fridley | |
6341 University Ave Ne Fridley MN 55432-4946 | |
(763) 572-5700 | |
(763) 586-5888 |
Full Name | M Health Fairview Clinic - Fridley |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 6341 University Ave Ne, Fridley, 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 - Fridley Po Box 9372 Minneapolis MN 55440-9372 Ph: (612) 672-6724 | M Health Fairview Clinic - Fridley 6341 University Ave Ne Fridley MN 55432-4946 Ph: (763) 572-5700 |
NPI Number | 1205017670 |
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Provider Enumeration Date | 11/14/2007 |
Last Update Date | 10/14/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205017670 | NPI | - | NPPES |
104021 | Other | MN | UCARE MN |
141955000 | Medicaid | MN | |
819418000 | Medicaid | MN | |
98-01409 | Other | MN | MEDICA CLINIC NUMBER |
FP917 | Other | MN | PREFERRED ONE |
04953FR | Other | MN | BCBS OF MN |
221549 | Other | MN | HEALTH PARTNERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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