Organization · Type 2 NPI

Fairview Health Services

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Minneapolis, MN

NPI number 1407833643 Active

Practice location

2450 Riverside Ave Unit C2300
Minneapolis, MN 55454-1450

Call (612) 365-2300 Map

Fax (612) 365-2301

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	02098 (MN)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1407833643
Entity type: Organization (Type 2)
Issued: Dec 29, 2005
Last updated: Jul 9, 2026
Status: Active

Other names

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Fairview Hospital University Kidney Center · doing business as
University of MN Medical Center, Fairview Renal Dialysis Center · doing business as
University of MN Medical Center, Fairview Renal Dialysis Center · other name

Authorized official

Maureen V Ring
Sys Dir Govt Reimb & Netwk Rel
(612) 672-6740

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About NPI 1407833643

Fairview Health Services's National Provider Identifier is 1407833643, issued on Dec 29, 2005. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 9, 2026.