Wayfair Nursing Home

LBN: Fairfield Memorial Hospital
Wayfair Nursing Home is an health care organization with primary practice located at 303 Nw 11Th St , Fairfield IL 62837-1203. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Fairfield Memorial Hospital can be contacted via phone (618) 847-8260, or through Brown, Michael J via phone (618) 847-8260.

Contact Information

Primary practice address
303 Nw 11Th St Fairfield IL 62837-1203
Phone: (618) 847-8260
Fax: (618) 847-8387
Website:
Map and Directions
Authorized official contact:
Name: Brown, Michael J
Phone: (618) 847-8260

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 0040238 Illinois

Profile Details

NPI number 1821186479
LBN Legal business name Fairfield Memorial Hospital
DBA Doing business as Wayfair Nursing Home
Authorized official Brown, Michael J
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1821186479 NPPES
Illinois Other 1049 BCBS

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