Dynamic List Information
Dynamic List Data
Facility
University of Minnesota Medical Center, Fairview
Provider Number
240080
Date of Initial Certification
2017-06-12
Date of Re-Certification
2022-09-21
Address
2450 Riverside Avenue
Minneapolis, MN 55454
United States
JHACO ID #: 2908
Previous Re-certification Dates: 03/26/2009; 08/26/2011; 10/10/2013; 11/03/2015; 12/05/2017; 9/11/2020