| M Health Fairview Neonatal Services | |
|
2945 Hazelwood St Ste 100 Maplewood MN 55109-1242 | |
| (651) 232-7031 | |
| (651) 232-7826 |
| Full Name | M Health Fairview Neonatal Services |
|---|---|
| Speciality | Clinic/center |
| Location | 2945 Hazelwood St Ste 100, Maplewood, Minnesota |
| Authorized Official Name and Position | Maureen Ring (AO DIRECTOR NETWORK RELATIONS) |
| Authorized Official Contact | 6126726740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M Health Fairview Neonatal Services 2945 Hazelwood St Ste 100 Maplewood MN 55109-1242 Ph: (651) 232-7031 | M Health Fairview Neonatal Services 2945 Hazelwood St Ste 100 Maplewood MN 55109-1242 Ph: (651) 232-7031 |
| NPI Number | 1073569943 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073569943 | NPI | - | NPPES |
| 250223200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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