National Provider Identifier Database

FAIRFAX MEDICAL FACILITIES INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

FAIRFAX MEDICAL FACILITIES INC
119 W MAIN ST
HOMINY, OK74035
Phone: 918-885-4640
Fax: 918-885-4644
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for FAIRFAX MEDICAL FACILITIES INC

NPI Number 1609040864
Legal business name
LBN
FAIRFAX MEDICAL FACILITIES INC
Authorized official TAMMY LEEPER - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 04/18/2008
Last updated 04/20/2026 - About 2 months ago
Sole proprietor1 Not specified
Identifiers
  • OK Medicaid: 200071420E

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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