NPIMap

Organization Active NPI

Fairview Health Services

Doing business as Fairview Woodbury Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Woodbury, MN
National Provider Identifier
1104392398
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
FAIRVIEW HEALTH SERVICES
Doing business as
Fairview Woodbury Orthotics and Prosthetics
Practice address
1875 Woodwinds Dr Ste 150
Woodbury, MN 55125-2518
Phone
(651) 683-7000
Fax
(651) 683-7001
NPI assigned
Oct 16, 2018
Last updated
Jul 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jill Marie McCartney
Title
System Executive HME O&P
Phone
(651) 632-9835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1875 Woodwinds Dr Ste 150
Woodbury, MN 55125-2518

Mailing address

1700 University Ave W
Saint Paul, MN 55104-3727
Phone (612) 672-6740

Other names 2

  • Fairview Woodbury Orthotics and Prosthetics Doing business as
  • M Health Fairview Orthotics and Prosthetics Woodwinds Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190423002696 MN DME Supplier - Medical Supply Company With Orthotic-Prosthetic 1951213057 Practice locations: Woodbury, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Fairview Health Services1875 Woodwinds Dr, Woodbury, MN 55125-2518(651) 683-7000 Neuromuscular Elect Stimulators (NMES)/Supplies|Osteogenesis Stimulators|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Com… Accepts assignmentParticipating since Jan 1, 2026

National Provider Directory

National Provider Directory
Tax ID family
Fairview LKS N Brnch CL70 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Locations

1875 Woodwinds Dr
Ste 150
Woodbury, MN 55125
Phone (651) 683-7000

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Capitol Park Mental Health HospitalSaint Paul, MN, CCN 244019 Hospital 5% Or Greater Direct Ownership Interest (12.1%) Dec 7, 2021
Accentcare Fairview Home Health - East, LLCOakdale, MN, CCN 247166 Home health agency 5% Or Greater Indirect Ownership Interest (20%) Nov 2, 2020
Accentcare Fairview Home Health - West, LLCSaint Paul, MN, CCN 247078 Home health agency 5% Or Greater Indirect Ownership Interest (20%) Nov 2, 2020
Accentcare Fairview Hospice - West, LLCSaint Paul, MN, CCN 241514 Hospice 5% Or Greater Indirect Ownership Interest (20%) Nov 2, 2020

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1104392398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043727",
            "telephone_number": "612-672-6740",
            "fax_number": "612-884-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 WOODWINDS DR STE 150",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252518",
            "telephone_number": "651-683-7000",
            "fax_number": "651-683-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "MCCARTNEY",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SYSTEM EXECUTIVE HME O&P",
        "authorized_official_telephone_number": "651-632-9835"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairview Woodbury Orthotics and Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "M Health Fairview Orthotics and Prosthetics Woodwinds",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.