Fairfax Community Home Inc in Fairfax - Skilled Nursing Facility
Fairfax Community Home Inc - NPI 1710963251
Fairfax Community Home Inc is a Skilled Nursing Facility in Fairfax, Minnesota. Fairfax Community Home Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Fairfax Community Home Inc is 1710963251. The last update date is 2013-05-08.
Fairfax Community Home Inc's current location address is 300 10th Ave Se, Fairfax, Minnesota. You can contact this provider via phone number 5074268241 and fax number 5074267340. The mailing address for Fairfax Community Home Inc is 300 10th Ave Se, Fairfax, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fairfax Community Home Inc |
|---|---|
| Address | 300 10th Ave Se, Fairfax, Minnesota |
| Phone Number | 5074268241 |
| Fax Number | 5074267340 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Sandmann A Judith |
| Telephone Number | 5074268241 |
NPI Number Detail
| NPI Number | 1710963251 |
|---|---|
| Provider Enumeration Date | 2005-12-16 |
| Last Updated Date | 2013-05-08 |
Provider Mailing Address Detail
| Address | 300 10th Ave Se |
|---|---|
| City | Fairfax |
| State | Minnesota (MN) |
| Post Code | 553322149 |
| Phone Number | 5074268241 |
| Fax Number | 5074267340 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 328593 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7122754 | MEDICA | ||
| 8669FA | MN | BLUE CROSS BLUE SHIELD | |
| 138740500 | MN | -- | |
| 30802015 | MN | PRIME WEST HEALTH SYSTEM |
Post Comment/ Review Below
What is the Fairfax Community Home Inc's unique identification number?
The Fairfax Community Home Inc has been assigned the NPI (National Provider Identifier) Number 1710963251 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Fairfax Community Home Inc's physical address?
The Fairfax Community Home Inc is physically located at 300 10Th Ave Se, in the city of Fairfax, MN, with the postal code 553322149.
What is Fairfax Community Home Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Fairfax Community Home Inc is Skilled Nursing Facility, and the taxonomy code that classifies this field of practice is 314000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1710963251 to Fairfax Community Home Inc?
The Fairfax Community Home Inc received its 1710963251 assignment from the Centers for Medicare & Medicaid Services on 2005-12-16.
When was the information regarding Fairfax Community Home Inc most recently updated?
The details pertaining to the Fairfax Community Home Inc, including its address, specialty, and other relevant information, were last refreshed on 2013-05-08.