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Contact Information

FAIRFAX MEDICAL FACILITIES INC
119 W MAIN ST
HOMINY, OK74035
 Phone: 918-885-4640
 Fax: 918-885-4644
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for FAIRFAX MEDICAL FACILITIES INC

NPI # 1609040864
LBN Legal business name FAIRFAX MEDICAL FACILITIES INC
Authorized official TAMMY LEEPER - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/18/2008
Last updated 04/20/2026 - About 2 months ago
Identifiers
OK Medicaid 200071420E
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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