Provider Demographics
NPI:1427086362
Name:FAIRFIELD HEALTHCARE PROFESSIONALS INC
Entity type:Organization
Organization Name:FAIRFIELD HEALTHCARE PROFESSIONALS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-687-8499
Mailing Address - Street 1:PO BOX 2563
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-5563
Mailing Address - Country:US
Mailing Address - Phone:740-687-8499
Mailing Address - Fax:740-687-8230
Practice Address - Street 1:216 TRACE DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-4151
Practice Address - Country:US
Practice Address - Phone:740-654-6300
Practice Address - Fax:740-654-0106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0153462Medicaid
OHCD3781OtherMEDICARE RAILROAD
OH0153462Medicaid