| Fairview Recovery Services | |
|
20 Lake St N Ste 210 Forest Lake MN 55025-2523 | |
| (612) 672-1500 | |
| (651) 464-4847 |
| Full Name | Fairview Recovery Services |
|---|---|
| Speciality | Clinic/center |
| Location | 20 Lake St N, Forest Lake, 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 20 Lake St N Ste 210 Forest Lake MN 55025-2523 Ph: (612) 672-1500 |
| NPI Number | 1538334842 |
|---|---|
| Provider Enumeration Date | 04/28/2008 |
| Last Update Date | 10/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538334842 | NPI | - | NPPES |
| 896402500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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