Fairway Pines

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FAIRWAY PINES

Practice address

606 Main St N
Sauk Centre, MN 56378-4899

Phone

(320) 351-4900

NPI assigned

Jun 1, 2009

Last updated

Jun 1, 2009By 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

Howie Groff

Title

President

Phone

(952) 888-2923

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1659507077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 MAIN ST N",
            "city": "SAUK CENTRE",
            "state": "MN",
            "postal_code": "563784899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 MAIN ST N",
            "city": "SAUK CENTRE",
            "state": "MN",
            "postal_code": "563784899",
            "telephone_number": "320-351-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRWAY PINES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "GROFF",
        "authorized_official_first_name": "HOWIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-888-2923"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Marie Dilly, D.C.
• Dr. James R. Williams of Sauk Centre DDS PA
• Joel Ellis Dunn, D. O.
• Eagle's Healing Nest
• Mercedes Eke
• Falls Court Dentists (Main Street Dental of Sauk Centre)
• Carla J Fowler, CRNA
• Brett Allen Freese, OD
• Nicole Lynn Frie, MSW LICSW
• Trisha Kay Garvin, MT-BC

• Assisted Living Facility in Sauk Centre, MN
• Providers in Sauk Centre, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.