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FAIRVIEW NORTHLAND
NPI 1336209139
Rehabilitation Hospital in Princeton, MN

Active since December 11, 2006CLIA 24D0400744 · Accreditation
911 NORTHLAND DR, PRINCETON, MN 55371(763) 389-6420 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fairview Northland NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRVIEW NORTHLAND (NPI 1336209139) is a healthcare organization registered as a rehabilitation hospital in Princeton, Minnesota and active in the NPI registry since December 2006. The organization holds an CLIA Accreditation certificate valid through August 16, 2027 and lists Sandra Whitcomb, Rehab Assistant, as its authorized official.

NPPES Registry Identity

NPI1336209139
Entity TypeOrganization
Primary Taxonomy283X00000X
Legal Business NameFAIRVIEW NORTHLAND
Location Address911 NORTHLAND DRPrinceton, MN 55371-2172
Mailing Address13854 Riverview Dr NwElk River, MN 55330-1626 · (763) 441-0487
Phone(763) 389-6420
Organization SubpartNo
Authorized OfficialSandra WhitcombRehab Assistant · (763) 389-6420
Enumeration DateDecember 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1336209139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation HospitalHospitals
Taxonomy Code283X00000X
License✔ Licensed in MN · 4410
Definition
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.
911 NORTHLAND DR, Princeton, MN 55371
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 24D0400744

Fairview Northland Hospital Diagnostic Laboratory · Princeton, MN
Active · expires Aug 16, 2027
CLIA Number24D0400744
Laboratory TypeHospital
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorDr. R. David Dexter
Laboratory Phone(763) 389-1313
Laboratory LocationFairview Northland Hospital Diagnostic Laboratory911 Northland Drive, Princeton, MN 55371
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN MARIE FRABONI RCP
Respiratory Therapist, Certified
911 NORTHLAND DR
PRINCETON, MN 55371
Mille Lacs County (763) 389-1313
FAIRVIEW HEALTH SERVICES
Hospitalist
911 NORTHLAND DR
PRINCETON, MN 55371
Mille Lacs County (763) 389-1313
SARA LYNNE KNEISL D.P.T.
Physical Therapist
911 NORTHLAND DR
PRINCETON, MN 55371
Mille Lacs County (763) 389-6420
JANEL MARIE HEMMESCH RD
Dietitian, Registered
911 NORTHLAND DR
PRINCETON, MN 55371
Mille Lacs County (763) 389-6367
BREANNA PETERSON D.O.
Emergency Medicine
911 NORTHLAND DR
PRINCETON, MN 55371
Mille Lacs County (763) 389-1313
THEODORE P VANERP MD
Family Medicine
911 NORTHLAND DR
PRINCETON, MN 55371
Mille Lacs County (763) 389-1313
MS. BARBARA ANN REIN PT
Physical Therapist
911 NORTHLAND DR
PRINCETON, MN 55371
Mille Lacs County (763) 389-6420
MEGAN JOAN SCHOEBERL PA-C
Physician Assistant
911 NORTHLAND DR
PRINCETON, MN 55371
Mille Lacs County (763) 389-7617

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairview Northland's NPI number?

The NPI number for Fairview Northland is 1336209139. It was assigned to this organization in the NPPES registry on December 11, 2006.

Where is Fairview Northland located?

Fairview Northland is located at 911 Northland Dr, Princeton, MN 55371. The listed phone number is (763) 389-6420.

What is Fairview Northland's specialty?

The primary specialty registered for this NPI is Rehabilitation Hospital with taxonomy code 283X00000X.

Does Fairview Northland hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 24D0400744) is associated with this NPI, valid through August 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fairview Northland was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.