FAIRFIELD HOSPITAL DISTRICT NPI 1679049050

NPI Information

NPI: 1679049050
Provider Name: FAIRFIELD HOSPITAL DISTRICT

Doing Business As: FREESTONE HEALTH CLINIC AT TEAGUE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
604 MAIN ST
TEAGUE, TX
ZIP 75860
Phone: (903) 389-2181
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FAIRFIELD HOSPITAL DISTRICT is a rural health clinic center in Teague, TX. FAIRFIELD HOSPITAL DISTRICT NPI is 1679049050. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Freestone Health Clinic At Teague.

The provider's business location address is:

604 MAIN ST
TEAGUE, TX
ZIP 75860-628
Phone: (903) 389-2181
Fax: (903) 389-0906

The provider's authorized official is John M Yeary .
The authorized official title is Ceo and has the following contact phone number (903) 389-2121.

The CLIA number assigned to this NPI record is 45D2158495 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2018 and was last updated on 1/26/2023.

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	Primary
1	363AM0700X	Physician Assistant	Medical	No
2	207Q00000X	Family Medicine		No
3	363LF0000X	Nurse Practitioner	Family	No
4	261QR1300X	Clinic/Center	Rural Health	Yes

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

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