Organization · NPI-2
Fairview Baptist Church
Private Vehicle · Oklahoma City, OK
NPI number1275827560
StatusActive
Last updated in NPPESJun 3, 2011
Details
- NPI
- 1275827560
- Entity type
- Organization (NPI-2)
- Legal business name
- Fairview Baptist Church
- Organization subpart
- No
- Enumeration date
- Jun 3, 2011
- Last updated
- Jun 3, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 347C00000X | Private Vehicle | – | – | Yes |
| 251B00000X | Case Management | 11111111111 | OK | |
| 251B00000X | Case Management | 1111111111111 | OK | |
| 251V00000X | Voluntary or Charitable | – | – | |
| 305S00000X | Point of Service | – | – |
Practice location
1700 Ne 7th StOklahoma City, OK 73117-2817
Phone 405-209-6750
Mailing address
Po Box 36188Oklahoma City, OK 73136-2188
Phone 405-209-6750
Authorized official
Dr. John Reed
Pastor
4052358820
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