Fairview Health Services
Organization Active NPI Durable Medical Equipment & Medical Supplies · Wyoming, MN
NPI 1396087433 · NPPES record last updated Jul 23, 2026
Key facts
- NPI
- 1396087433
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- FAIRVIEW HEALTH SERVICES
- Practice address
- 5130 Fairview Blvd
Suite 104
Wyoming, MN 55092 - Phone
- (651) 982-7002
- NPI assigned
- Mar 26, 2013
- Organization subpart
- No
Authorized official
- Name
- Jill Marie McCartney
- Title
- System Executive HME O&P
- Phone
- (651) 632-9835
Corporate family (same tax ID) 24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Capitol Park Mental Health Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (12.1%) | Dec 7, 2021 |
| Accentcare Fairview Home Health - East, LLC |
Home health agency | 5% Or Greater Indirect Ownership Interest (20%) | Nov 2, 2020 |
| Accentcare Fairview Home Health - West, LLC |
Home health agency | 5% Or Greater Indirect Ownership Interest (20%) | Nov 2, 2020 |
| Accentcare Fairview Hospice - West, LLC |
Hospice | 5% Or Greater Indirect Ownership Interest (20%) | Nov 2, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130925000732 | MN | DME Supplier - Medical Supply Company With Respiratory Therapist |
1951213057 | Practice locations: Wyoming, MN |
National Provider Directory
- Tax ID family
- Mesaba Clinic
Locations
2200 University Ave W
Ste 110
Saint Paul, MN 55114
Phone (651) 632-9800
5130 Fairview Blvd
Ste 104
Wyoming, MN 55092
Phone (651) 982-7002
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
5130 Fairview Blvd
Suite 104
Wyoming, MN 55092
Mailing address
1700 University Ave W
Saint Paul, MN 55104-3727
Phone (612) 672-6740
Other names
- Fairview Home Medical Equipment
- Fairview Wyoming Home Medical Equipment
Other providers in Wyoming, MN
- Fairview Express Care
- Fairview Express Care
- Fairview Express Care
- Fairview Health Services
- Fairview Health Services
- Fairview Health Services
- Fairview Health Services
- Fairview Health SVC
- Fairview Pharmacy Services LLC
- Fairview Pharmacy Services LLC
All providers in Wyoming, MN · Durable Medical Equipment & Medical Supplies in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2026. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.