CAH ACQUISITION COMPANY 12 LLC (NPI# 1134451396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134451396 |
| Entity Type | Organization |
| Organization Name | CAH ACQUISITION COMPANY 12 LLC |
| Other Organization Name | FAIRFAX COMMUNITY HOSPITAL |
| Practice Address |
40 Hospital Rd Fairfax OK 74637 |
| Mailing Address |
40 Hospital Rd Fairfax OK 74637-5084 |
| Practice Telephone | 9186423291 |
| Practice Fax Number | 9186423694 |
| Mailing Telephone | 9186423291 |
| Mailing Fax Number | 9186423694 |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2018-07-16 |
| Authorized Official Name | TINA J STEELE (CEO) |
| Authorized Official Telephone | 9186423291 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 275N00000X | Medicare Defined Swing Bed Unit | OK | Hospital Units | |
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
OK | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200311270B | 05 | |
| OK | 200311270A | 05 |
| Other Name | Type Code |
|---|---|
| FAIRFAX COMMUNITY HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598039620 | Cah Acquisition Company 12 LLC | Clinic/Center | 535 6th St, Pawnee, OK 74058 | 2012-03-07 |
| 1306145339 | Cah Acquisition Company 12 LLC | Clinic/Center | 40 Hospital Rd, Fairfax, OK 74637 | 2011-03-16 |
| Street Address |
40 HOSPITAL RD |
| City | FAIRFAX |
| State | OK |
| Zip Code | 74637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982233466 | Rural Wellness Fairfax Inc | Medicare Defined Swing Bed Unit | 40 Hospital Rd, Fairfax, OK 74637-5084 | 2020-04-06 |
| 1790314466 | Rural Wellness Fairfax Inc | Clinic/Center | 40 Hospital Rd, Fairfax, OK 74637-5084 | 2020-04-05 |
| 1295362564 | Rural Wellness Fairfax Inc | General Acute Care Hospital | 40 Hospital Rd, Fairfax, OK 74637-5084 | 2020-03-25 |
| 1417317140 | Renee A Weatherford | Nurse Practitioner | 40 Hospital Rd, Fairfax, OK 74637-5084 | 2016-02-23 |
| 1245577659 | Seth Alden Cookerly | Physician Assistant | 40 Hospital Rd, Fairfax, OK 74637-5084 | 2013-01-07 |
| 1992071179 | Starla M Allen | Family Medicine | 40 Hospital Rd, Fairfax, OK 74637-5084 | 2012-04-01 |
| 1306145339 | Cah Acquisition Company 12 LLC | Clinic/Center | 40 Hospital Rd, Fairfax, OK 74637 | 2011-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588725485 | Michael S Ben Inc PC | Dentist | 161 N 2nd Street, Fairfax, OK 74637 | 2006-12-13 |
| 1376554006 | Fairfax Healthcare Properties,llc | General Acute Care Hospital | Hwy 18 & Taft Avenue, Fairfax, OK 74637-0219 | 2006-08-10 |
| 1922143098 | Fairfax Healthcare Properties,l.l.c. | Medicare Defined Swing Bed Unit | Hwy 18 & Taft Avenue, Fairfax, OK 74637-0219 | 2007-02-20 |
| 1679613970 | Elmer Gari Owens | Physician Assistant | Hwy 18 & Taft Avenue, Fairfax, OK 74637-0219 | 2007-02-07 |
| 1861502635 | Madison Medical LLC | Durable Medical Equipment & Medical Supplies | 115 W. Maple, Fairfax, OK 74637-1533 | 2006-08-30 |
| 1962911123 | Oklahoma Advantage Storehouse, LLC | Durable Medical Equipment & Medical Supplies | 403 N Main St, Fairfax, OK 74637-1547 | 2017-09-20 |
| 1780853382 | Wanda W Priddy | Social Worker | 301 N 2nd St, Fairfax, OK 74637-2012 | 2008-02-27 |
| 1689628711 | Jean M Helmbright | Psychiatry & Neurology | 301 N 2nd St, Fairfax, OK 74637-2012 | 2006-05-22 |
| 1518073006 | Michael S Ben | Dentist | 161 N 2nd St, Fairfax, OK 74637-2063 | 2006-08-21 |
| 1346382066 | Fairfax Healthcare Properties, LLC | Home Health | 153 N Main St, Fairfax, OK 74637-3022 | 2007-02-12 |
| Find all providers in zip 74637 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376554006 | Fairfax Healthcare Properties,llc | General Acute Care Hospital | Hwy 18 & Taft Avenue, Fairfax, OK 74637-0219 | 2006-08-10 |
| 1609866912 | Allendale County Hospital Board | General Acute Care Hospital | 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 | 2005-10-27 |
| 1295362564 | Rural Wellness Fairfax Inc | General Acute Care Hospital | 40 Hospital Rd, Fairfax, OK 74637-5084 | 2020-03-25 |
| 1295834992 | Allendale County Hospital Board | General Acute Care Hospital | 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 | 2006-09-21 |
| 1538125570 | Community Hospital Association | General Acute Care Hospital | 26136 Us Highway 59, Fairfax, MO 64446-8155 | 2006-04-26 |
| 1942279500 | Community Hospital Association | General Acute Care Hospital | 26136 Us Highway 59, Fairfax, MO 64446-8155 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285047779 | Cordell Hospital Authority | General Acute Care Hospital | 1109 N Glenn L. English St, Cordell, OK 73632-2010 | 2014-06-03 |
| 1083048417 | Mercy Hospital Kingfisher, Inc | General Acute Care Hospital | 1000 Kingfisher Regional Hospital Drive, Kingfisher, OK 73750 | 2013-08-21 |
| 1326352204 | Weatherford Hospital Authority | General Acute Care Hospital | 3727 Legacy, Weatherford, OK 73096 | 2010-08-03 |
| 1922329853 | Cah Acquisition Company 16 LLC | General Acute Care Hospital | 401 Nw H Street, Stigler, OK 74462 | 2010-06-15 |
| 1427295872 | Cleveland Area Hospital Holdings, Inc. | General Acute Care Hospital | 1401 West Pawnee, Cleveland, OK 74020 | 2009-01-07 |
| 1427234566 | Tulsa Hospitalists | General Acute Care Hospital | 15608 Traditions Dr, Edmond, OK 73013-1150 | 2008-01-19 |
| 1942486733 | Mercy Hospital of Pittsburgh | General Acute Care Hospital | 1100 N Lindsay Ave, Oklahoma City, OK 73104-5410 | 2008-01-11 |
| 1053447086 | Jane Phillips Nowata Health Center | General Acute Care Hospital | 237 S Locust St, Nowata, OK 74048-3660 | 2007-02-26 |
| 1073617619 | Seiling Municipal Hospital Authority | General Acute Care Hospital | Hwy 60, Ne, Seiling, OK 73663 | 2006-09-12 |
| 1497857437 | Roger Mills County Hospital Authority | General Acute Care Hospital | 501 S Ll Males Ave, Cheyenne, OK 73628-0219 | 2006-09-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CAH ACQUISITION COMPANY 12 LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.