Organization · Type 2 NPI
Fairfax Medical Facilities, Inc.
Federally Qualified Health Center (FQHC) · Ponca City, OK
NPI number
1316747017
Active
Practice location
122 E Grand Ave
Ponca City, OK 74601-5205
Mailing address
212 N Main St
Fairfax, OK 74637-3023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
4 other providers at this address
- Kayti Moxley, APRN-CNPFamily Nurse Practitioner Ponca City, OK NPI 1346650397
- Kristin M. Brock, LCSWClinical Social Worker Ponca City, OK NPI 1780949883
- Lisa Ann Seabridge, LCSWClinical Social Worker Ponca City, OK NPI 1316969157
- Melinda Rother Allen, DOInternal Medicine Physician Ponca City, OK NPI 1396737888
About NPI 1316747017
Fairfax Medical Facilities, Inc.'s National Provider Identifier is 1316747017, issued on Mar 13, 2025. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Ponca City, OK. The record was last updated on Apr 14, 2026.