Organization Name: | FAIRVIEW HOSPITAL |
NPI Number: | 1053357210 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROGER KNAK (ADMINISTRATOR) |
Mailing Address: | 523 E State Rd Fairview |
State: | OK US |
Postal Code: | 737371453 |
Phone Number: | 5802273721 |
Fax Number: | 5802272882 |
NPI Enumeration Date: | 06/22/2006 |
NPI Last Update Date: | 02/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 2248 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |