| Organization Name: | FAIRVIEW CLINIC PLC |
| NPI Number: | 1174776207 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHERYL HENRY (FNP-BC) |
| Mailing Address: | 1392 Maple Dr Fairview |
| State: | MI US |
| Postal Code: | 486218703 |
| Phone Number: | 9898485644 |
| Fax Number: | 9898487411 |
| NPI Enumeration Date: | 11/03/2008 |
| NPI Last Update Date: | 02/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |