Robert Clark Family Health Center

LBN: Fairfax Medical Facilities Inc
Robert Clark Family Health Center is an health care organization with primary practice located at 212 N Main St , Fairfax OK 74637-3023. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Fairfax Medical Facilities Inc can be contacted via phone (918) 642-3100, or through Mcconnell, Karen via phone (918) 642-3100.

Contact Information

Primary practice address
212 N Main St Fairfax OK 74637-3023
Phone: (918) 642-3100
Fax: (918) 642-5639
Website:
Map and Directions
Authorized official contact:
Name: Mcconnell, Karen
Phone: (918) 642-3100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1538183173
LBN Legal business name Fairfax Medical Facilities Inc
DBA Doing business as Robert Clark Family Health Center
Authorized official Mcconnell, Karen
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
Last updated Jun 18th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538183173 NPPES
Oklahoma MEDICAID 200071420B
Oklahoma MEDICAID 200071420D
Oklahoma MEDICAID 200071420E
Oklahoma MEDICAID 200071420G
Oklahoma MEDICAID 200071420F

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