| Organization Name: | FAIRVIEW CLINICS |
| NPI Number: | 1508167701 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL M FROMM (CFO) |
| Mailing Address: | 23671 Saint Francis Blvd Nw Suite 101 Saint Francis |
| State: | MN US |
| Postal Code: | 550709802 |
| Phone Number: | 7635023900 |
| Fax Number: | 7635023901 |
| NPI Enumeration Date: | 11/04/2010 |
| NPI Last Update Date: | 10/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |