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

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

4 other providers at this address

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.