Organization · Type 2 NPI

Fairview Health Services

Prosthetic/Orthotic Supplier · Woodbury, MN

NPI number 1104392398 Active

Practice location

1875 Woodwinds Dr Ste 150
Woodbury, MN 55125-2518

Call (651) 683-7000 Map

Fax (651) 683-7001

Mailing address

1700 University Ave W
St. Paul, MN 55104-3727

Specialties and licenses

Taxonomy	Code	License
Prosthetic/Orthotic Supplier Primary	335E00000X	None listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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NPI record

NPI: 1104392398
Entity type: Organization (Type 2)
Issued: Oct 16, 2018
Last updated: Jul 23, 2026
Status: Active

Other names

Fairview Woodbury Orthotics and Prosthetics · doing business as
M Health Fairview Orthotics and Prosthetics Woodwinds · other name

Authorized official

Jill Marie McCartney
System Executive Hme O&p
(651) 632-9835

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About NPI 1104392398

Fairview Health Services's National Provider Identifier is 1104392398, issued on Oct 16, 2018. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Woodbury, MN. The record was last updated on Jul 23, 2026.