Organization
FAIRVIEW REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER KNAK (CEO)
(580) 227-1370
Entity
Organization
Contact information
Practice address
519 E STATE RD, FAIRVIEW, OK 73737-1458
(580) 227-2585
(580) 227-1382
Mailing address
519 E STATE RD, FAIRVIEW, OK 73737-1458
(580) 227-2585
(580) 227-1382
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
20436
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841252483
NPI
OK
Enumeration date
10/02/2014
Last updated
10/02/2014
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