| M Health Fairview Clinic - Eagan | |
|
3305 Central Park Village Dr Suite 200 Eagan MN 55121-7707 | |
| (651) 406-8860 | |
| (651) 688-7864 |
| Full Name | M Health Fairview Clinic - Eagan |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3305 Central Park Village Dr, Eagan, 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 Clinic - Eagan Po Box 9372 Minneapolis MN 55440-9372 Ph: (612) 672-6724 | M Health Fairview Clinic - Eagan 3305 Central Park Village Dr Suite 200 Eagan MN 55121-7707 Ph: (651) 406-8860 |
| NPI Number | 1043402688 |
|---|---|
| Provider Enumeration Date | 08/17/2007 |
| Last Update Date | 10/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043402688 | NPI | - | NPPES |
| 752820502 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
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