FAIRFAX MEDICAL FACILITIES INC (NPI# 1548609217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548609217 |
| Entity Type | Organization |
| Organization Name | FAIRFAX MEDICAL FACILITIES INC |
| Other Organization Name | CLEVELAND FAMILY HEALTH CENTER |
| Practice Address |
100 N Hickerson Dr Cleveland OK 74020-4003 |
| Mailing Address |
212 N Main St Fairfax OK 74637-3023 |
| Practice Telephone | 9186423515 |
| Practice Fax Number | 9186423519 |
| Mailing Telephone | 9186423100 |
| Mailing Fax Number | 9186425639 |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-17 |
| Authorized Official Name | SHARON HALL (CEO) |
| Authorized Official Telephone | 9186423100 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAIRFAX MEDICAL FACILITIES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
OK | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cleveland Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346507266 | Fairfax Medical Facilities Inc | Clinical Nurse Specialist | 100 N Hickerson Dr, Cleveland, OK 74020-4003 | 2012-04-17 |
| 1992092647 | Fairfax Medical Facilities Inc | Clinic/Center | 1717 N 4th St, Ste 102, Ponca City, OK 74601-2748 | 2011-07-01 |
| 1851535785 | Fairfax Medical Facilities Inc | Clinic/Center | 716 S Highway 77, Newkirk, OK 74647-7009 | 2009-04-22 |
| 1316111255 | Fairfax Medical Facilities Inc | Clinic/Center | 212 N Main St, Fairfax, OK 74637-3023 | 2008-04-22 |
| 1609040864 | Fairfax Medical Facilities Inc | Family Medicine | 119 W Main St, Hominy, OK 74035 | 2008-04-18 |
| 1538183173 | Fairfax Medical Facilities Inc | Clinic/Center | 212 N Main St, Fairfax, OK 74637-3023 | 2006-07-27 |
| Street Address |
100 N HICKERSON DR |
| City | CLEVELAND |
| State | OK |
| Zip Code | 74020-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639444532 | Shawna Renee Shipman | Nurse Practitioner | 100 N Hickerson Dr, Cleveland, OK 74020-4003 | 2012-03-12 |
| 1447692249 | Triad Eye Medical Clinic & Cataract Inst Co Inc | Ophthalmology | 100 N Hickerson Dr, Cleveland, OK 74020-4003 | 2013-07-22 |
| 1346507266 | Fairfax Medical Facilities Inc | Clinical Nurse Specialist | 100 N Hickerson Dr, Cleveland, OK 74020-4003 | 2012-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699912048 | Pawnee County Home Health, Inc. | Home Health | 1310 W. Pawnee, Cleveland, OK 74020 | 2009-01-07 |
| 1427295872 | Cleveland Area Hospital Holdings, Inc. | General Acute Care Hospital | 1401 West Pawnee, Cleveland, OK 74020 | 2009-01-07 |
| 1205956851 | Sampson J Blythe IIi | Chiropractor | 312 S Broadway, Cleveland, OK 74020 | 2007-03-29 |
| 1134260961 | Cleveland Chiropractic Clinic Inc | Chiropractor | 312 S Broadway Street, Cleveland, OK 74020 | 2007-02-12 |
| 1932211505 | Gregory Allen Fielding | Optometrist | 107 South Broadway, Cleveland, OK 74020 | 2006-08-31 |
| 1568422509 | Cleveland Healthcare Properties, LLC | General Acute Care Hospital | 1401 W Pawnee, Cleveland, OK 74020 | 2006-03-24 |
| 1801020565 | Cleveland Area Hospital Holdings, Inc. | Emergency Medicine | 1401 West Pawnee, Cleveland, OK 74020 | 2009-05-11 |
| 1881831774 | Cleveland Area Hospital Holdings, Inc. | Medicare Defined Swing Bed Unit | 1401 West Pawnee, Cleveland, OK 74020 | 2009-01-14 |
| 1710528195 | Rhonda Brown | Case Manager/Care Coordinator | 362539 Old Hwy 64, Cleveland, OK 74020-0036 | 2019-10-07 |
| 1891885521 | Cleveland Public Schools | Local Education Agency (LEA) | 600 N Gilbert Ave, Cleveland, OK 74020-1023 | 2006-10-13 |
| Find all providers in zip 74020 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286011 | Asian Services In Action, Inc | Clinic/Center | 2999 Payne Ave, Ste 140, Cleveland, OH 44114 | 2019-10-15 |
| 1891287439 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 10505 Saint Clair Ave Ste 101, Cleveland, OH 44108-1973 | 2018-05-30 |
| 1306268677 | Neighborhood Health Care Incorporated | Clinic/Center | 14037 Puritas Ave, Suite A and D, Cleveland, OH 44135-2841 | 2014-01-06 |
| 1114275310 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 15320 Euclid Ave, Cleveland, OH 44112-2806 | 2012-08-17 |
| 1386905644 | Care Alliance | Clinic/Center | 1701 Payne Ave, Cleveland, OH 44114-2909 | 2012-06-04 |
| 1447511787 | Care Alliance | Clinic/Center | 5005 Euclid Ave, Cleveland, OH 44103-3745 | 2012-06-04 |
| 1386905628 | Care Alliance | Clinic/Center | 5310 Carnegie Ave, Cleveland, OH 44103-4360 | 2012-06-04 |
| 1730440074 | Care Alliance | Clinic/Center | 2100 Lakeside Ave E, Cleveland, OH 44114-1126 | 2012-06-04 |
| 1780942656 | Care Alliance | Clinic/Center | 4241 Lorain Ave, Cleveland, OH 44113-3720 | 2012-04-30 |
| 1831457712 | Care Alliance | Clinic/Center | 2227 Payne Ave, Cleveland, OH 44114-4424 | 2012-04-27 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on FAIRFAX MEDICAL FACILITIES INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.