Organization
FAIRFAX MEDICAL FACILITIES INC
Active
Parent organization
FAIRFAX MEDICAL FACILITIES INC
Other names
Hominy Family Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAIRFAX MEDICAL FACILITIES INC
Authorized official
TAMMY LEEPER (CEO)
(918) 642-3100
Entity
Organization
Contact information
Practice address
119 W MAIN ST, HOMINY, OK 74035
(918) 885-4640
(918) 885-4644
Mailing address
212 N MAIN ST, FAIRFAX, OK 74637-3023
(918) 642-3100
(918) 642-5639
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
OK
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200071420E
—
OK
Enumeration date
04/18/2008
Last updated
04/20/2026
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