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Organization
FAIRVIEW BAPTIST CHURCH
Active
Organization
FAIRVIEW BAPTIST CHURCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN REED (PASTOR)
(405) 235-8820
Entity
Organization
Contact information
Practice address
1700 NE 7TH ST, OKLAHOMA CITY, OK 73117-2817
(405) 209-6750
Mailing address
PO BOX 36188, OKLAHOMA CITY, OK 73136-2188
(405) 209-6750
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
11111111111
OK
251B00000X
Case Management Agency
1111111111111
OK
251V00000X
Voluntary or Charitable Agency
—
NULL
305S00000X
Point of Service
—
NULL
347C00000X
Private Vehicle
Primary
—
NULL
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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