Organization
CAH ACQUISITION COMPANY 12 LLC
Active
Other names
FAIRFAX COMMUNITY HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
TINA J STEELE (CEO)
(918) 642-3291
Entity
Organization
Contact information
Practice address
40 HOSPITAL RD, FAIRFAX, OK 74637
(918) 642-3291
(918) 642-3694
Mailing address
40 HOSPITAL RD, FAIRFAX, OK 74637-5084
(918) 642-3291
(918) 642-3694
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
OK
282NC0060X
Critical Access Hospital
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200311270A
—
OK
05
—
200311270B
—
OK
Enumeration date
02/12/2010
Last updated
07/16/2018
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