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Fairview Health Services — NPI 1396708038, Blaine, MN | NPI Central

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NPI 1396708038

OrganizationActive

Fairview Health Services

NPI 1396708038 · Prosthetic/Orthotic Supplier · Blaine, MN

Provider details

NPI number: 1396708038
Entity type: Organization
Primary specialty: Prosthetic/Orthotic SupplierSuppliers
Organization subpart: No
Authorized official: Jill Mccartney, System Executive 0&p(651) 632-9835

Specialties & taxonomies

Prosthetic/Orthotic SupplierPrimary335E00000X
Suppliers

Practice location

10961 Club West Pkwy Ne

Ste 220

Blaine, MN 55449-5866

Phone: (763) 852-6401

Fax: (763) 852-6402

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

1700 University Ave W

Saint Paul, MN 55104-3727

Other names (DBA / former)

Doing business as: Fairview Orthotics and Prosthetics
Doing business as: Fairview Orthotics and Prosthetics

Registry dates

Enumerated: 2006-04-11
Last updated: 2025-05-13
Certified: 2025-05-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.