CAH ACQUISITION COMPANY 12 LLC NPI 1306145339

NPI Information

  • NPI: 1306145339
  • Provider Name: CAH ACQUISITION COMPANY 12 LLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: FAIRFAX RURAL HEALTH CLINIC
  • CLIA Number: 37D2178805
  • Address: 40 HOSPITAL RD
    FAIRFAX, OK
    ZIP 74637
  • Phone: (918) 642-8827

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NPI Details

CAH ACQUISITION COMPANY 12 LLC is a rural health clinic center in Fairfax, OK. CAH ACQUISITION COMPANY 12 LLC NPI is 1306145339. The provider is registered as an organization entity type.
The provider Is Doing Business As Fairfax Rural Health Clinic.

The provider's business location address is:

40 HOSPITAL RD
FAIRFAX, OK
ZIP 74637
Phone: (918) 642-8827
Fax: (918) 642-3298

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 37D2178805 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2011 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
1261QR1300XClinic/CenterRural Health2274OKLAHOMAYes

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
1200311270CMEDICAIDOKLAHOMA

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: 3/30/2025

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