Fairfax Rural Health Clinic

LBN: Cah Acquisition Company 12 Llc
Fairfax Rural Health Clinic is an health care organization with primary practice located at 40 Hospital Rd , Fairfax OK 74637. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Cah Acquisition Company 12 Llc can be contacted via phone (918) 642-8827, or through Steele, Tina J via phone (918) 642-3291.

Contact Information

Primary practice address
40 Hospital Rd Fairfax OK 74637
Phone: (918) 642-8827
Fax: (918) 642-3298
Website:
Map and Directions
Authorized official contact:
Name: Steele, Tina J
Phone: (918) 642-3291

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 2274 Oklahoma

Profile Details

NPI number 1306145339
LBN Legal business name Cah Acquisition Company 12 Llc
DBA Doing business as Fairfax Rural Health Clinic
Authorized official Steele, Tina J
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 16th, 2011
Last updated Jul 16th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306145339 NPPES
Oklahoma MEDICAID 200311270C

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