| Fairview Northland Regional Hospital | |
|
911 Northland Dr #l006b Princeton MN 55371-2172 | |
| (763) 389-6990 | |
| (763) 389-6991 |
| Full Name | Fairview Northland Regional Hospital |
|---|---|
| Speciality | Clinic/center |
| Location | 911 Northland Dr #l006b, Princeton, Minnesota |
| Authorized Official Name and Position | Joe C Gaylord (EVP & CFO) |
| Authorized Official Contact | 6126726119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairview Northland Regional Hospital Po Box 147 Minneapolis MN 55440-0147 Ph: (612) 672-6724 | Fairview Northland Regional Hospital 911 Northland Dr #l006b Princeton MN 55371-2172 Ph: (763) 389-6990 |
| NPI Number | 1184899486 |
|---|---|
| Provider Enumeration Date | 04/28/2008 |
| Last Update Date | 09/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184899486 | NPI | - | NPPES |
| 170128200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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