Fairview Regional Medical Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

20436 Issued in OK

Legal business name

FAIRVIEW REGIONAL MEDICAL CENTER

Practice address

519 E State Rd
Fairview, OK 73737-1458

Phone

(580) 227-2585

Fax

(580) 227-1382

NPI assigned

Oct 2, 2014

Last updated

Oct 2, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Roger Knak

Title

Ceo

Phone

(580) 227-1370

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1285037416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 E STATE RD",
            "city": "FAIRVIEW",
            "state": "OK",
            "postal_code": "737371458",
            "telephone_number": "580-227-2585",
            "fax_number": "580-227-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 E STATE RD",
            "city": "FAIRVIEW",
            "state": "OK",
            "postal_code": "737371458",
            "telephone_number": "580-227-2585",
            "fax_number": "580-227-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "KNAK",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-227-1370"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "20436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841252483",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry Shane Elliott
• Entrust DPC PLLC
• Megan Leigh Ewing, APRN-CNP
• Fairview Family & Sports Chiropractic, P.C.
• Fairview Fellowship Home for Senior Citizens, Inc.
• Fairview Regional Medical Center Authority (Fairview Regional Medical Center)
• Fairview Regional Medical Center Authority
• Fairview Regional Medical Center Authority (Fairview Family Clinic)
• Fairview Regional Medical Center Authority (Fairview Family Clinic)
• Fairview RX Inc (Fairview Rx)

• Clinic/Center in Fairview, OK
• Providers in Fairview, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.