Provider Demographics
NPI:1629030796
Name:FAIRFIELD MEDICAL CENTER INC
Entity Type:Organization
Organization Name:FAIRFIELD MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:NEWTON
Authorized Official - Last Name:HAMMETT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:717-642-8759
Mailing Address - Street 1:4 FIELD TRL
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:17320-8241
Mailing Address - Country:US
Mailing Address - Phone:717-642-8759
Mailing Address - Fax:717-642-6711
Practice Address - Street 1:4 FIELD TRL
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:PA
Practice Address - Zip Code:17320-8241
Practice Address - Country:US
Practice Address - Phone:717-642-8759
Practice Address - Fax:717-642-6711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA056840Medicare PIN