NPIMap

Organization Active NPI

Fairview Clinics

  • Primary Care Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1396552147
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FAIRVIEW CLINICS
Practice address
45 10TH St W
Saint Paul, MN 55102-1062
Phone
(651) 232-4990
Fax
(651) 232-4837
NPI assigned
Dec 16, 2024
Last updated
Feb 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Maureen V Ring
Title
Sys Dir Govt Reimb & Netwk Rel
Phone
(612) 672-6740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

45 10TH St W
Saint Paul, MN 55102-1062

Mailing address

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

Other names 1

  • M Health Fairview Community Advancement Mobile Clinic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory
Tax ID family
Fairview Clinics23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

332 E Broadway Ste E322
Ste E322
Bloomington, MN 55425
Phone (952) 927-3800

675 E Nicollet Blvd
Ste 250
Burnsville, MN 55337
Phone (952) 223-3060

1447 White Oak Dr
Chaska, MN 55318
Phone (952) 368-3800

10450 185th St W
Ste 300
Lakeville, MN 55044
Phone (952) 892-9500

2545 Portland Ave
Minneapolis, MN 55404
Phone (612) 879-2262

701 25th Ave S
Ste 306
Minneapolis, MN 55454
Phone (612) 672-2350

701 25th Ave S
Ste 402
Minneapolis, MN 55454
Phone (612) 672-2900

7505 Metro Blvd
Minneapolis, MN 55439
Phone (651) 271-1665

825 Nicollet Mall
Ste 507
Minneapolis, MN 55402
Phone (612) 339-9786

12450 Wayzata Blvd
Ste 123
Minnetonka, MN 55305
Phone (612) 513-0513

14040 Northdale Blvd
Rogers, MN 55374
Phone (763) 241-5870

14040 Northdale Blvd
Ste 10
Rogers, MN 55374
Phone (763) 241-5870

14040 Northdale Blvd
Ste 20
Rogers, MN 55374
Phone (763) 488-4188

23671 Saint Francis Blvd NW
Ste 101
Saint Francis, MN 55070
Phone (763) 438-4971

14650 Garrett Ave
Saint Paul, MN 55124
Phone (952) 236-2000

Practitioners & affiliated clinicians

Practitioners 2,380

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.

View all 2,380

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1396552147",
    "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": "45 10TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021062",
            "telephone_number": "651-232-4990",
            "fax_number": "651-232-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "RING",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "SYS DIR GOVT REIMB & NETWK REL",
        "authorized_official_telephone_number": "612-672-6740"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M Health Fairview Community Advancement Mobile Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "M Health Fairview Community Advancement Mobile Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.