Provider Demographics
NPI:1235685892
Name:FAIRFIELD HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:FAIRFIELD HOSPITAL DISTRICT
Other - Org Name:FREESTONE MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:YEARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-389-2121
Mailing Address - Street 1:125 NEWMAN ST
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:75840-1419
Mailing Address - Country:US
Mailing Address - Phone:903-389-2121
Mailing Address - Fax:903-389-1601
Practice Address - Street 1:125 NEWMAN ST
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:TX
Practice Address - Zip Code:75840-1419
Practice Address - Country:US
Practice Address - Phone:903-389-2121
Practice Address - Fax:903-389-1601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital