Organization · Type 2 NPI

Fairview Health Services

Prosthetic/Orthotic Supplier · St. Paul, MN

NPI number 1508873464 Active

Practice location

2200 University Ave W, Ste 114
St. Paul, MN 55114-1839

Call (651) 644-5808 Map

Fax (651) 644-5926

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.

14 other providers at this address

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NPI record

NPI: 1508873464
Entity type: Organization (Type 2)
Issued: Aug 2, 2006
Last updated: Jul 23, 2026
Status: Active

Other names

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Fairview Orthotics and Prosthetics · doing business as
Fairview ST Paul Orthotics and Prosthetics · doing business as
Fairview Orthotics and Prosthetics · other name

Authorized official

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

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508873464

Fairview Health Services's National Provider Identifier is 1508873464, issued on Aug 2, 2006. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in St. Paul, MN. The record was last updated on Jul 23, 2026.