OrganizationActive
Fairview Health Services
NPI 1104392398 · Prosthetic/Orthotic Supplier · Woodbury, MN
Provider details
- NPI number
- 1104392398
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Jill Mccartney, System Executive Hme O&p(651) 632-9835
Specialties & taxonomies
Suppliers
Practice location
1875 Woodwinds Dr Ste 150
Woodbury, MN 55125-2518
Phone: (651) 683-7000
Fax: (651) 683-7001
Approximate (ZIP-level) locationGet directions
Mailing address
1700 University Ave W
Saint Paul, MN 55104-3727
Registry dates
- Enumerated
- 2018-10-16
- Last updated
- 2025-11-03
- Certified
- 2025-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.