| Organization Name: | FAIRVIEW HEALTH SERVICES |
| NPI Number: | 1023096922 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL M FROMM (CFO) |
| Mailing Address: | 6545 France Ave S Ste 450 Edina |
| State: | MN US |
| Postal Code: | 554352131 |
| Phone Number: | 9529241520 |
| Fax Number: | 9529248090 |
| NPI Enumeration Date: | 01/03/2006 |
| NPI Last Update Date: | 05/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Occupational Medicine |
| Taxonomy Definition: | |