Fairview Express Care
NPI #1386872281 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1386872281
- Entity Type
- Organization
- Organization Name
- Fairview Express Care
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jun 30, 2009
- Last Updated
- Oct 26, 2020
Practice Location
- Address
- 20 LAKE ST N
- Address 2
- STE 210
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-2511
- Phone
- (612) 672-6999
Authorized Official
- Name
- ROBERT ANDREW MCCOY
- Title
- VP REVENUE MANAGEMENT
- Phone
- (612) 672-6594
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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