CAH ACQUISITION COMPANY 12 LLC NPI 1134451396

NPI Information

NPI: 1134451396
Provider Name: CAH ACQUISITION COMPANY 12 LLC

Doing Business As: FAIRFAX COMMUNITY HOSPITAL

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
40 HOSPITAL RD
FAIRFAX, OK
ZIP 74637
Phone: (918) 642-3291
Get Directions

CAH ACQUISITION COMPANY 12 LLC is a critical access general acute care hospital in Fairfax, OK. CAH ACQUISITION COMPANY 12 LLC NPI is 1134451396. The provider is registered as an organization entity type.
The provider Is Doing Business As Fairfax Community Hospital.

The provider's business location address is:

40 HOSPITAL RD
FAIRFAX, OK
ZIP 74637
Phone: (918) 642-3291
Fax: (918) 642-3694

The provider's authorized official is Tina J Steele .
The authorized official title is Ceo and has the following contact phone number (918) 642-3291.

The CLIA number assigned to this NPI record is 37D0656763 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/12/2010 and was last updated on 7/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	275N00000X	Medicare Defined Swing Bed Unit			OKLAHOMA	No
2	282NC0060X	General Acute Care Hospital	Critical Access		OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200311270A	MEDICAID	OKLAHOMA
2	200311270B	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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