Fairview Regional Medical Center Authority

NPI #1356379309 in Fairview, Oklahoma

Provider Information

NPI Number
1356379309
Entity Type
Organization
Organization Name
Fairview Regional Medical Center Authority
Subpart
Yes (part of a larger organization)
Parent Organization
FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY
Primary Specialty
Family Medicine
Enumeration Date
Jun 29, 2006
Last Updated
Apr 23, 2015

Practice Location

Address
519 E STATE RD
ZIP Code
73737-1458
Phone
(580) 227-3721

Authorized Official

Name
ROGER KNAK
Title
ADMINISTRATOR
Phone
(580) 227-3721

Specialties & Taxonomy Codes

Specialty
Family Medicine

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Provider Name
Fairview Regional Medical Center Authority

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