| Fairview Clinics-pine City | |
|
100 Evergreen Sq Sw Pine City MN 55063-2000 | |
| (320) 629-6721 | |
| Not Available |
| Full Name | Fairview Clinics-pine City |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 100 Evergreen Sq Sw, Pine City, 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 |
|---|---|
| Fairview Clinics-pine City Po Box 9372 Minneapolis MN 55440-9372 Ph: (612) 672-6724 | Fairview Clinics-pine City 100 Evergreen Sq Sw Pine City MN 55063-2000 Ph: (320) 629-6721 |
| NPI Number | 1477781375 |
|---|---|
| Provider Enumeration Date | 06/30/2009 |
| Last Update Date | 10/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477781375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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