OrganizationActive
Fairview Health Services
NPI 1407833643 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Minneapolis, MN
Provider details
- NPI number
- 1407833643
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Maureen Ring, Sys Dir Govt Reimb & Netwk Rel
- License
- 02098 (MN)
Practice location
2450 Riverside Ave
Suite C2300
Minneapolis, MN 55454-1450
Phone: (612) 365-2300
Fax: (612) 365-2301
Mailing address
1700 University Ave W
Saint Paul, MN 55104-3727
Registry dates
- Enumerated
- 2005-12-29
- Last updated
- 2025-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.