Fairfax Medical Facilities Inc is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Hominy, Oklahoma. The current practice location for Fairfax Medical Facilities Inc is 119 W Main St, Hominy, Oklahoma. For appointments, you can reach them via phone at
(918) 885-4640. The mailing address for Fairfax Medical Facilities Inc is 212 N Main St, Fairfax, Oklahoma and phone number is (918) 642-3100.
Fairfax Medical Facilities Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1609040864. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(918) 885-4640.
Primary Care Clinic Profile
| Full Name | Fairfax Medical Facilities Inc |
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| Speciality | Clinic/Center |
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| Location | 119 W Main St, Hominy, Oklahoma |
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| Authorized Official Name and Position | Karen Mcconnell (CEO) |
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| Authorized Official Contact | 9186423100 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Fairfax Medical Facilities Inc
212 N Main St
Fairfax
OK 74637-3023
Ph: (918) 642-3100 | Fairfax Medical Facilities Inc
119 W Main St
Hominy
OK 74035
Ph: (918) 885-4640 |
NPI Details:
| NPI Number | 1609040864 |
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| Provider Enumeration Date | 04/18/2008 |
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| Last Update Date | 06/18/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4284663360 |
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| Medicare Enrollment ID | O20070719000677 |
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Medical Identifiers
Medical identifiers for Fairfax Medical Facilities Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609040864 | NPI | - | NPPES |
| 200071420E | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (Oklahoma) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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