Provider Demographics
NPI:1912180886
Name:FAIRFIELD HEALTHCARE PROFESSIONALS INC
Entity Type:Organization
Organization Name:FAIRFIELD HEALTHCARE PROFESSIONALS INC
Other - Org Name:FAIRFIELD CARDIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:B
Authorized Official - Last Name:PARRISH
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:740-687-8095
Mailing Address - Street 1:135 N EWING ST STE 204
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-3378
Mailing Address - Country:US
Mailing Address - Phone:740-689-6394
Mailing Address - Fax:740-689-6395
Practice Address - Street 1:1153 E MAIN ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-4056
Practice Address - Country:US
Practice Address - Phone:740-687-8990
Practice Address - Fax:740-687-8230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-13
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0153462Medicaid
OH9276943Medicare PIN