Fair Oaks Health Systems, LLC
Organization Active NPI Skilled Nursing Facility · Jamestown, KY
NPI 1689675548 · NPPES record last updated Nov 5, 2008
Key facts
- NPI
- 1689675548
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 100466 (KY)
- Legal business name
- FAIR OAKS HEALTH SYSTEMS, LLC
- Practice address
- 1 Sparks Ave
Jamestown, KY 42629-2418 - Phone
- (270) 343-2101
- Fax
- (270) 343-2080
- NPI assigned
- Aug 2, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Chris Minnich
- Title
- Administrator Owner
- Phone
- (270) 343-2101
National Provider Directory
Locations
1 Fair Oaks Dr
Jamestown, KY 42629
Phone (270) 343-2101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 100466 | KY | Yes |
Addresses
Primary practice location
1 Sparks Ave
Jamestown, KY 42629-2418
Mailing address
PO Box 740
Jamestown, KY 42629-0740
Phone (270) 343-2101
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12503728 | Medicaid | KY |
Other providers in Jamestown, KY
- Casey Jo Davis
- Christopher Davis
- Ashley N Durham
- Tiffany Ewing
- Fair Oaks Health and Rehabilitation LLC
- Andrea Farlee
- Jamie Ford
- Maretta Garner
- Taylor A Gibson
- Teresa Gleason
All providers in Jamestown, KY · Skilled Nursing Facility in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.