MEDICARE: FAIRFIELD MEDICAL CENTER

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	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1699496745
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAIRFIELD MEDICAL CENTER

Provider Business Mailing Address
First Line	:	401 N EWING ST
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-3372
Country	:	US
Telephone Number	:	740-687-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	775 CARROLL ST
Second Line	:
City	:	NEW LEXINGTON
State	:	OH
Zip	:	43764-9415
Country	:	US
Telephone Number	:	740-343-4447
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	JACK R JANOSO JR.
Credential	:
Telephone Number	:	740-687-8000

Provider Enumeration Date	:	09/07/2022
Last Update Date	:	09/07/2022

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Directions to “FAIRFIELD MEDICAL CENTER ” Practice Location

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