Fairview Clinics
Organization Active NPI Primary Care Clinic/Center · Rush City, MN
NPI 1295989457 · NPPES record last updated Oct 19, 2020
Key facts
- NPI
- 1295989457
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- FAIRVIEW CLINICS
- Practice address
- 760 W 4TH St
Rush City, MN 55069-9063 - Phone
- (320) 358-4784
- Fax
- (320) 358-4665
- NPI assigned
- Nov 13, 2008
- Organization subpart
- No
Authorized official
- Name
- Robert Andrew McCoy
- Title
- VP Revenue Management
- Phone
- (612) 672-6594
Corporate family (same tax ID) 22
Practitioners 72
-
Elliot George Arsoniadis, M.D.
-
John Bass, M.D.
-
Sarah Marie Brumberg, R.N., C.N.P.
-
James M Cain, MD
-
Kerwin T Chan, MD
-
Jack Chen, MD
-
Robin Erickson, PA-C
-
Chiquita Marie Mayhugh Ewert, AU.D.
-
Oleg Froymovich, M.D.
-
Melissa Ann Geller, M.D.
-
Massimo Griselli, MD MS FRCS
-
Rebecca Sara Hanson, D.O.
-
Laura Lorraine Hilker, MSN, CNP
-
Amber Lee Holt, PA C
-
Cassidy Jones, CRNA
-
Chris M Jones, PA-C
-
Kathryn Kauffman, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031106000516 | MN | Part B Supplier - Clinic/Group Practice | 7113830142 |
Receives reassigned benefits from 2,406 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Fairview Clinics
Locations
1414 Maryland Ave E
Saint Paul, MN 55106
Phone (651) 772-3461
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
760 W 4TH St
Rush City, MN 55069-9063
Mailing address
PO Box 9372
Minneapolis, MN 55440-9372
Phone (612) 672-6724
Other names
- Fairview Clinics-Rush City
- M Health Fairview Clinic - Rush City
Other providers in Rush City, MN
- Shanna Jean Christian
- Amanda Cowan
- Dragonfly Children'S Respite Home Inc.
- Gretchen Ann Erickson
- Estates at Rush City LLC
- William G Gibson IV
- Kaitlyn Marie Grell I
- Diane Rose Hardee
- Delores M Kaiserlik
- William H E Kieper
All providers in Rush City, MN · Primary Care Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.