| Fairview Recovery Services | |
|
3400 W 66th St Ste 400 Edina MN 55435-2111 | |
| (952) 924-5901 | |
| (952) 924-5808 |
| Full Name | Fairview Recovery Services |
|---|---|
| Speciality | Clinic/center |
| Location | 3400 W 66th St, Edina, 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 Recovery Services Po Box 147 Minneapolis MN 55440-0147 Ph: (612) 672-6724 | Fairview Recovery Services 3400 W 66th St Ste 400 Edina MN 55435-2111 Ph: (952) 924-5901 |
| NPI Number | 1619142635 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 10/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619142635 | NPI | - | NPPES |
| 055755200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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