Fairview Family Clinic

LBN: Fairview Regional Medical Center Authority
Fairview Family Clinic is an health care organization with primary practice located at 519 E State Rd , Fairview OK 73737-1458. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Fairview Regional Medical Center Authority can be contacted via phone (580) 227-3721, or through Knak, Roger via phone (580) 227-3721.

Contact Information

Primary practice address
519 E State Rd Fairview OK 73737-1458
Phone: (580) 227-3721
Fax: (580) 227-2882
Website:
Map and Directions
Authorized official contact:
Name: Knak, Roger
Phone: (580) 227-3721

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1356379309
LBN Legal business name Fairview Regional Medical Center Authority
DBA Doing business as Fairview Family Clinic
Authorized official Knak, Roger
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 29th, 2006
Last updated Apr 23rd, 2015 - about 9 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 1356379309 NPPES
Oklahoma MEDICAID 100700800E

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