institution
Fairfax Medical Facilities Inc
Federally Qualified Health Center (FQHC) in Ponca City, Oklahoma
NPI 1992092647

Fairfax Medical Facilities Inc is a Federally Qualified Health Center (FQHC) based in Fairfax, OK and is specialized in Federally Qualified Health Center (FQHC). Fairfax Medical Facilities Inc practices in Ponca City, OK. The NPI Number for Fairfax Medical Facilities Inc is 1992092647 and holds a License No. (Oklahoma).

The current practice location address for Fairfax Medical Facilities Inc is 1717 N 4Th St, Ponca City, OK and can be reached out via phone at 580-767-1777 and via fax at 580-762-2917. You can also correspond with Fairfax Medical Facilities Inc through the mailing address at 212 N MAIN ST, FAIRFAX, OK - 74637-3023 (mailing address contact number: 918-642-3100).

Location: 1717 N 4Th St, Ponca City, OK, 74637-3023
institution
Provider Profile Details
NPI Number
1992092647
Provider Name
Fairfax Medical Facilities Inc
Credential
Provider Entity Type
Organization
Address
1717 N 4Th St, Ponca City, OK, 74637-3023
Phone Number
580-767-1777
Fax Number
580-762-2917
Provider Enumeration Date
07/01/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1717 N 4Th St
City
State
Zip
74601-2748
Phone Number
580-767-1777
Fax Number
580-762-2917
person
Provider Business Mailing Address Details
Address
1717 N 4Th St
City
State
Zip
74601-2748
Phone Number
580-767-1777
Fax Number
580-762-2917
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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