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FAIRFAX MEDICAL FACILITIES INC
NPI 1609040864
Clinic/Center - Federally Qualified Health Center (FQHC) in Hominy, OK

Active since April 18, 2008
119 W MAIN ST, HOMINY, OK 74035(918) 885-4640(918) 885-4644 Get Directions Write a Review

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

Record update history: Apr 20, 2026, Jun 18, 2024, Jan 6, 2017 (3 updates tracked since 2017).

About Fairfax Medical Facilities Inc NPPES

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

FAIRFAX MEDICAL FACILITIES INC (NPI 1609040864), doing business as Hominy Family Health Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Hominy, Oklahoma and active in the NPI registry since April 2008. The organization lists Tammy Leeper, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609040864
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameFAIRFAX MEDICAL FACILITIES INC
Location Address119 W MAIN STHominy, OK 74035
Mailing Address212 N Main StFairfax, OK 74637-3023 · (918) 642-3100 · Fax (918) 642-5639
Phone(918) 885-4640
Fax(918) 885-4644
Organization SubpartYes
Authorized OfficialTammy LeeperCeo · (918) 642-3100
Enumeration DateApril 18, 2008
Last NPPES UpdateApril 20, 20263 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1609040864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X
119 W MAIN ST, Hominy, OK 74035
Open in Google Maps ↗

Other Names 1

Doing Business AsHominy Family Health Center

Other Identifiers 1

Medicaid200071420EOK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 9

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

KISHA MARIE FARRELL APRN FNP-BC
Nurse Practitioner (Family)
119 W MAIN ST
HOMINY, OK 74035
Osage County (918) 885-4640
STEPHANIE ANN DURHAM AGNP-C
Nurse Practitioner (Adult Health)
119 W MAIN ST
HOMINY, OK 74035
Osage County (918) 885-4640
ANGELIA DAWN DIAB CNP, APRN
Nurse Practitioner (Family)
119 W MAIN ST
HOMINY, OK 74035
Osage County (918) 885-4640
BRANDI NICOLE THOMPSON DDS
Dentist
119 W MAIN ST
HOMINY, OK 74035
Osage County (918) 885-4640
CHARLES P CROWELL III DO
Family Medicine
119 W MAIN ST
HOMINY, OK 74035
Osage County (918) 885-4640
DONALD L SUTMILLER DO
General Practice
119 W MAIN ST
HOMINY, OK 74035
Osage County (918) 885-4640
MRS. GLENDA D BOYLE MSW
Social Worker (Clinical)
119 W MAIN ST
HOMINY, OK 74035
Osage County (918) 885-4640
KATELYN S FITZGERALD APRN, FNP-C
Nurse Practitioner (Family)
119 W MAIN ST
HOMINY, OK 74035
Osage County (918) 885-4640

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 1609040864. It was assigned to this organization in the NPPES registry on April 18, 2008. The provider is doing business as Hominy Family Health Center.

Where is Fairfax Medical Facilities Inc located?

Fairfax Medical Facilities Inc is located at 119 W Main St, Hominy, OK 74035. The listed phone number is (918) 885-4640.

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 Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer 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 20, 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.