| Rural Wellness Fairfax Inc | |
|
40 Hospital Rd Fairfax OK 74637-5084 | |
| (918) 642-8827 | |
| (918) 642-3298 |
| Full Name | Rural Wellness Fairfax Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 40 Hospital Rd, Fairfax, Oklahoma |
| Authorized Official Name and Position | Elizabeth J Pusey (PRESIDENT) |
| Authorized Official Contact | 9496452321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Wellness Fairfax Inc 2524 N Broadway Edmond OK 73034-4172 Ph: (949) 322-4337 | Rural Wellness Fairfax Inc 40 Hospital Rd Fairfax OK 74637-5084 Ph: (918) 642-8827 |
| NPI Number | 1790314466 |
|---|---|
| Provider Enumeration Date | 04/05/2020 |
| Last Update Date | 10/21/2024 |
| Medicare PECOS PAC ID | 3678904752 |
|---|---|
| Medicare Enrollment ID | O20200511001103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790314466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Cah Acquisition Company 12 Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Hospital Rd, Fairfax, OK 74637 Phone: 918-642-8827 Fax: 918-642-3298 | |
Fairfax Medical Facilities Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 212 N Main St, Fairfax, OK 74637 Phone: 918-642-3100 Fax: 918-642-5639 |