NPI 1104392398

Fairview Health Services

Organisation Prosthetic/Orthotic Supplier Woodbury, MN

Practice location

Address: 1875 Woodwinds Dr STE 150, Woodbury, MN 55125-2518
Phone: (651) 683-7000
Fax: (651) 683-7001
Mailing address: 1700 University Ave W, Saint Paul, MN 55104-3727

Authorised official

Name: Jill Marie McCartney
Title: System Executive Hme O&p
Phone: (651) 632-9835

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Minnesota →

Registry record

NPI: 1104392398
Entity type: Organization
NPI issued: 16 Oct 2018
Record last updated: 23 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.