| NPI | 1124210760 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-08-17 |
| Last Updated | 2025-02-27 |
| Authorized Official | Maureen Ring Sys Dir Govt Reimb & Netwk Rel Phone: 6126726740 |
| Mailing Address | 1700 University Ave W Saint Paul, MN 55104-3727 United States Phone: (612) 672-6740 | Fax: (612) 884-3592 📍 View Map |
| Primary Practice Address | 14040 Northdale Blvd, Ste 10 Rogers, MN 55374-9612 United States Phone: (763) 488-4100 | Fax: (763) 488-4105 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MN | 430067100 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QP2300X – Clinic/Center, Primary Care | — | — |
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About NPI 1124210760
Fairview Clinics is an organization registered in the CMS NPPES NPI Registry with NPI number 1124210760. The primary specialty listed is Clinic/Center, Primary Care. The organization is located in Rogers, MN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-08-17. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1124210760?
NPI 1124210760 belongs to Fairview Clinics, a Clinic/Center, Primary Care in Rogers, MN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1124210760 active?
The current status of NPI 1124210760 in the NPPES registry is Active. The record was last updated on 2025-02-27.
What specialty is NPI 1124210760?
NPI 1124210760 is classified under the taxonomy Clinic/Center, Primary Care. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1124210760?
You can verify NPI 1124210760 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1124210760?
The primary practice address on file for NPI 1124210760 is 14040 Northdale Blvd, Rogers, MN 55374-9612. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1124210760 issued?
NPI 1124210760 was first issued (enumerated) on 2007-08-17. The NPPES record was last updated on 2025-02-27.
Practice Location Map
Fairview Clinics is located at 14040 Northdale Blvd, Rogers, MN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Fairview Clinics. All records sourced from the CMS NPPES registry.