Fairview Clinics
Organization Active NPI Primary Care Clinic/Center · Saint Paul, MN
NPI 1326230293 · NPPES record last updated Feb 27, 2025
Key facts
- NPI
- 1326230293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- FAIRVIEW CLINICS
- Practice address
- 2270 Ford Pkwy Ste 200
Saint Paul, MN 55116-3412 - Phone
- (651) 696-5000
- Fax
- (651) 696-5001
- NPI assigned
- Aug 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Maureen V Ring
- Title
- Sys Dir Govt Reimb & Netwk Rel
- Phone
- (612) 672-6740
Practitioners 71
-
Tara Barrack, PA-C
-
Kristen Anne Benedict, ACNP
-
Kirsten Bluhm, DO
-
Andrea Lynn Engdahl, APRN, CNM
-
Ann Marie Ferguson, M.D.
-
Olga Formogey, CNP
-
Mehmet Gencturk, M.D
-
Mahmood Gharib, M.D.
-
Dustin Nickolas Golz, D.O.
-
Jeffrey A Hanson, MD
-
Kevin Hein, PA-C
-
Nathan R. Hendrickson, MD, MS
-
Thomas Reid Henry, M.D.
-
Brenda Her, MD
-
Stacy Matthew Hockett, M.D.
-
Paul Hoogervorst, MD
-
Valor Hopes, CNM
-
Thomas George Howell Jr., M.D.
-
Kathryn C Jenewein, DPM
-
Kristen Rae Jimenez, PA-C
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
Locations
3305 Central Park Village Dr
#140
Saint Paul, MN 55121
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
2270 Ford Pkwy Ste 200
Saint Paul, MN 55116-3412
Mailing address
1700 University Ave W
Saint Paul, MN 55104-3727
Phone (612) 672-6740
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 752820518 | Medicaid | MN |
Other names
- Fairview Clinics-Highland Park
Other providers in Saint Paul, MN
- Fairview Bethesda Hospital
- Fairview Bethesda Hospital
- Fairview Clinics
- Fairview Clinics
- Fairview Clinics
- Fairview Clinics
- Fairview Clinics
- Fairview Express Care
- Fairview Express Care
- Fairview Express Care
All providers in Saint Paul, 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 Feb 27, 2025. 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.