Fairview Regional Medical Center Authority

A Medicare group practice based in Fairview, OK: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 4183943186), with 13 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4183943186The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
OK
Enrollments
4
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20150424001440 OK Part A Provider - Critical Access Hospital 1033153309
O20150424000154 OK Part A Provider - Rural Health Clinic 1356379309
O20150501000163 OK Part B Supplier - Clinic/Group Practice 1316981657
O20150424001584 OK Part A Provider - Critical Access Hospital 1053357210

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 13

Clinicians who reassign their Medicare benefits to this group (13) or whom Care Compare lists as members (4).

Sources for this page