| M Health Fairview Orthopedic Clinic -ridges | |
|
14101 Fairview Drive Ste 300 Burnsville MN 55337-2537 | |
| (952) 892-2650 | |
| Not Available |
| Full Name | M Health Fairview Orthopedic Clinic -ridges |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 14101 Fairview Drive, Burnsville, 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 Orthopedic Clinic -ridges Po Box 9372 Minneapolis MN 55440-9372 Ph: (612) 672-6724 | M Health Fairview Orthopedic Clinic -ridges 14101 Fairview Drive Ste 300 Burnsville MN 55337-2537 Ph: (952) 892-2650 |
| NPI Number | 1083806772 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 10/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083806772 | NPI | - | NPPES |
| 133401800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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