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FAIRFAX MEDICAL CLINIC PA
NPI 1447245279
Family Medicine in Fairfax, MN

Active since September 19, 2005CLIA 24D0717350 · Waiver
300 PARK ST S, FAIRFAX, MN 55332(507) 426-7228(507) 426-8257 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fairfax Medical Clinic Pa NPPES

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

FAIRFAX MEDICAL CLINIC PA (NPI 1447245279) is a healthcare organization registered as a family medicine in Fairfax, Minnesota and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through January 21, 2027 and lists Thomas Frederick Gilles, Physician, as its authorized official.

NPPES Registry Identity

NPI1447245279
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAIRFAX MEDICAL CLINIC PA
Location Address300 PARK ST SFairfax, MN 55332-3153
Mailing AddressPo Box 529, 300 South Park StFairfax, MN 55332-0529 · (507) 426-7228 · Fax (507) 426-8257
Phone(507) 426-7228
Fax(507) 426-8257
Organization SubpartNo
Authorized OfficialThomas Frederick GillesPhysician · (507) 426-7228
Enumeration DateSeptember 19, 2005
Last NPPES UpdateApril 20, 2008
✔ NPI 1447245279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
300 PARK ST S, Fairfax, MN 55332
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Other Identifiers 8

Other=========100Unicare
Other773742World Ins
Other0105551Medica
Other47164GIMN · Bcbs
OtherHP21655Health Partners
Medicare UPIND75618
Other109697U-care
Other1013965Preferred One

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0717350

Fairfax Medical Clinic · Fairfax, MN
Active · expires Jan 21, 2027
CLIA Number24D0717350
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorThomas F. Gilles
Laboratory Phone(507) 426-7228
Laboratory LocationFairfax Medical Clinic300 South Park Street Box 529, Fairfax, MN 55332
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. THOMAS FREDERICK GILLES M.D,
Family Medicine
300 PARK ST S
FAIRFAX, MN 55332
Renville County (507) 426-7228
CITY OF SLEEPY EYE
Clinic/Center
300 PARK ST S
FAIRFAX, MN 55332
Renville County (507) 794-3691

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 Clinic PA's NPI number?

The NPI number for Fairfax Medical Clinic PA is 1447245279. It was assigned to this organization in the NPPES registry on September 19, 2005.

Where is Fairfax Medical Clinic PA located?

Fairfax Medical Clinic PA is located at 300 Park St S, Fairfax, MN 55332. The listed phone number is (507) 426-7228.

What is Fairfax Medical Clinic PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Fairfax Medical Clinic PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0717350) is associated with this NPI, valid through January 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fairfax Medical Clinic PA accept?

Health plans from Medica list Fairfax Medical Clinic PA 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 Clinic PA was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.