Basic Information
| Provider Information | |||||||||
| NPI: | 1568183606 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FAIRFIELD MEDICAL CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 401 N EWING ST | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | OH | ||||||||
| PostalCode: | 431303371 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7406878000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 751 STATE ROUTE 664N | ||||||||
| Address2: | UNIT A/B | ||||||||
| City: | LOGAN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 43138 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7403859646 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/07/2022 | ||||||||
| LastUpdateDate: | 09/07/2022 | ||||||||
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| AuthorizedOfficialLastName: | JANOSO | ||||||||
| AuthorizedOfficialFirstName: | JOHN | ||||||||
| AuthorizedOfficialMiddleName: | R | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 7406878000 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNameSuffix: | JR. | ||||||||
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| NPICertificationDate: | 09/01/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR1300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Rural Health |
No ID Information.