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FAIRFAX MEDICAL FACILITIES, INC.
NPI 1316747017
Clinic/Center - Federally Qualified Health Center (FQHC) in Ponca City, OK

Active since March 13, 2025
122 E GRAND AVE, PONCA CITY, OK 74601(580) 203-8270 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2026, Mar 13, 2025 (2 updates tracked since 2025).

About Fairfax Medical Facilities, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRFAX MEDICAL FACILITIES, INC. (NPI 1316747017), doing business as Ponca City Family Health Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Ponca City, Oklahoma and active in the NPI registry since March 2025. The organization lists Tammy Leeper, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316747017
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameFAIRFAX MEDICAL FACILITIES, INC.
Location Address122 E GRAND AVEPonca City, OK 74601-5205
Mailing Address212 N Main StFairfax, OK 74637-3023 · (918) 642-3100
Phone(580) 203-8270
Organization SubpartNo
Authorized OfficialTammy LeeperCeo · (918) 642-3100
Enumeration DateMarch 13, 2025
Last NPPES UpdateApril 14, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1316747017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
122 E GRAND AVE, Ponca City, OK 74601
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Other Names 1

Doing Business AsPonca City Family Health Center

Other Identifiers 1

Medicaid200071420MOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYTI MOXLEY APRN-CNP
Nurse Practitioner (Family)
122 E GRAND AVE
PONCA CITY, OK 74601
Kay County (580) 302-8270
MELINDA ROTHER ALLEN DO
Internal Medicine
122 E GRAND AVE
PONCA CITY, OK 74601
Kay County (580) 302-8270

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairfax Medical Facilities, Inc.'s NPI number?

The NPI number for Fairfax Medical Facilities, Inc. is 1316747017. It was assigned to this organization in the NPPES registry on March 13, 2025. The provider is doing business as Ponca City Family Health Center.

Where is Fairfax Medical Facilities, Inc. located?

Fairfax Medical Facilities, Inc. is located at 122 E Grand Ave, Ponca City, OK 74601. The listed phone number is (580) 203-8270.

What is Fairfax Medical Facilities, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Fairfax Medical Facilities, Inc. accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Fairfax Medical Facilities, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fairfax Medical Facilities, Inc. was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.