Organization
FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY
Active
Other names
Fairview Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER KNAK (ADMINISTRATOR)
(580) 227-3721
Entity
Organization
Contact information
Practice address
523 E STATE RD, FAIRVIEW, OK 73737-1453
(580) 227-3721
(580) 227-2882
Mailing address
PO BOX 548, FAIRVIEW, OK 73737-0548
(580) 227-3721
(580) 227-2882
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
2248
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700800A
—
OK
Enumeration date
06/16/2006
Last updated
10/21/2016
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