| Fairfield School Based Health Center | |
|
211 Donald Dr Fairfield OH 45014-3006 | |
| (513) 454-1460 | |
| Not Available |
| Full Name | Fairfield School Based Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 211 Donald Dr, Fairfield, Ohio |
| Authorized Official Name and Position | Ryan Randall (CFO) |
| Authorized Official Contact | 5134541468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfield School Based Health Center Po Box 837 Hamilton OH 45012-0837 Ph: (513) 454-1460 | Fairfield School Based Health Center 211 Donald Dr Fairfield OH 45014-3006 Ph: (513) 454-1460 |
| NPI Number | 1689046120 |
|---|---|
| Provider Enumeration Date | 10/23/2015 |
| Last Update Date | 11/03/2023 |
| Medicare PECOS PAC ID | 7810884780 |
|---|---|
| Medicare Enrollment ID | O20160217001711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689046120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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