Fairfax Medical Facilities Inc

A Medicare group practice based in Hominy, OK: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 4284663360), with 24 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4284663360The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
OK
Enrollments
5
Group size
16 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 4 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20050809000593 OK Part A Provider - Federally Qualified Health Center (FQHC) 1538183173
O20070719000677 OK Part A Provider - Federally Qualified Health Center (FQHC) 1609040864
O20060209000250 OK Part B Supplier - Clinic/Group Practice 1538183173
O20250703000802 OK Part A Provider - Federally Qualified Health Center (FQHC) 1316747017
O20090507000394 OK Part A Provider - Federally Qualified Health Center (FQHC) 1851535785

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 24

Clinicians who reassign their Medicare benefits to this group (24) or whom Care Compare lists as members (16).

Sources for this page