Fairfield Memorial Hospital

LBN: Fairfield Memorial Hospital
Fairfield Memorial Hospital is an health care organization with primary practice located at 303 Nw 11Th St , Fairfield IL 62837-1203. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Institutional Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. Fairfield Memorial Hospital can be contacted via phone (618) 842-2611, or through Dawkins, Stephen via phone (618) 842-2611.

Contact Information

Primary practice address
303 Nw 11Th St Fairfield IL 62837-1203
Phone: (618) 842-2611
Fax: (618) 847-8370
Website:
Map and Directions
Authorized official contact:
Name: Dawkins, Stephen
Phone: (618) 842-2611

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Community/Retail Pharmacy 3336C0003X Illinois

Profile Details

NPI number 1770594277
LBN Legal business name Fairfield Memorial Hospital
DBA Doing business as
Authorized official Dawkins, Stephen
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1770594277 NPPES
Other 1479915 OTHER ID NUMBER-COMMERCIAL NUMBER

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