MEDICARE: FAIRFIELD HEALTHCARE PROFESSIONALS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CD3781	OTHER	OH	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871535112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAIRFIELD HEALTHCARE PROFESSIONALS INC

Provider Business Mailing Address
First Line	:	PO BOX 2563
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-5563
Country	:	US
Telephone Number	:	740-687-8343
Fax Number	:	740-687-8230

Provider Business Practice Location Address
First Line	:	82 EAST CANAL ST
Second Line	:
City	:	CARROLL
State	:	OH
Zip	:	43112
Country	:	US
Telephone Number	:	740-756-4589
Fax Number	:	740-756-4876

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	LORI PARRISH
Credential	:
Telephone Number	:	740-687-8343

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	03/31/2008

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Directions to “FAIRFIELD HEALTHCARE PROFESSIONALS INC ” Practice Location

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