Fairview Seminary Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

649240100 Issued in MN

Legal business name

FAIRVIEW SEMINARY HOME

Practice address

906 College Ave
Red Wing, MN 55066-2459

Phone

(651) 385-3434

Fax

(651) 385-3420

NPI assigned

Oct 5, 2005

Last updated

Oct 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Jo Hill, RN, LNHA

Title

Administrator

Phone

(651) 385-3435

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy A Dejong, MD

  • Pediatrics Physician
  • Red Wing, MN
  • NPI 1467427427
  NPD (past)
• Mark Stanley Mellstrom, M.D.

  • Family Medicine Physician
  • Red Wing, MN
  • NPI 1346302106
  NPD (past)

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1255328175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 COLLEGE AVE",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662459",
            "telephone_number": "651-385-3434",
            "fax_number": "651-385-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 COLLEGE AVE",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662459",
            "telephone_number": "651-385-3434",
            "fax_number": "651-385-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW SEMINARY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-385-3435",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "649240100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essential Chiropractic SC
• Essential Eyecare Minnesota Inc (Pearle Vision)
• Ethos Physical Therapy LLC
• Lillian Eustis
• Madison Marian Exe
• Fairview Woods (Ebenezer at Fairview)
• William David Farrar, M.D.
• Patricia Ann Fenstermacher, ARNP
• Fernbrook Family Center
• Bernie Orders Finch, DC

• Skilled Nursing Facility in Red Wing, MN
• Providers in Red Wing, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.