FAIRFAX MEMORIAL HOSPITAL, INC - FAIRFAX, OK
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FAIRFAX MEMORIAL HOSPITAL, INC
STATE HWY 18 & TAFT AVENUE P O BOX 219 FAIRFAX, OK 74637 SHORT TERM HOSPITALS Services provided by FAIRFAX MEMORIAL HOSPITAL, INC: Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 21 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 21 Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 2 Prior change of ownership (The date of a prior change of ownership): Feb 1998 Clia - Hosp lab id #1 (Number assigned to a hospital laboratory licensed in accordance with the clinical laboratory improvement act (clia)): 37D0656763 Current survey ever accredited (Indicates if this provider was an accredited hospital anytime during the current survey): No Current survey ever non-Accred (Indicates if this provider was a non-Accredited hospital anytine during the current survey): Yes Current survey ever swingbed (Indicates if this provider was a swingbed hospital anytime during the current survey): Yes Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 3 Medical school affiliation (The type of affiliation that a hospital may have with a medical school): NO AFFILIATION Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 17 Participating code (y,n) (This code indicates whether a provider is participating in the Medicaid or Medicare program): Yes Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 6.50 Resident program approved by ada (Indicates if the resident program at a hospital is approved by the american dental association): No Resident program approved by ama (Indicates if the resident program at a hospital is approved by the american medical association): No Resident program approved by aoa (Indicates if the resident program at a hospital is approved by the american osteopathic association): No Resident program approved by other (Indicates if the resident program at a hospital is approved by other professional organizations): No Srv: anesthesia (Indicates how anesthesia services are provided by a hospital): PROVIDED UNDER ARRANGEMENT Srv: blood bank (Indiciates how blood bank services are provided by a hospital): 1 Srv: dietary (Indicates how dietary services are provided): PROVIDED UNDER ARRANGEMENT Srv: emergency services(organized) (Indicates how organized emergency services are provided by a hospital): PROVIDED BY STAFF Srv: home care unit (Indicates how home care services are provided by a hospital): PROVIDED BY STAFF Srv: hospice (Indicates how hospice services are provided by a hospital): PROVIDED UNDER ARRANGEMENT Srv: inpatient surgical (Indicates how inpatient surgical services are provided by a hospital): PROVIDED BY STAFF Srv: laboratory (clinical) (Indicates how clinical laboratory services are provided in a hospital): PROVIDED BY STAFF Srv: occupational therapy (Indicates how occupational therapy services are provided): PROVIDED UNDER ARRANGEMENT Srv: operating rooms (Indicates how operating room services are provided by a hospital): PROVIDED BY STAFF Srv: outpatient (Indicates how outpatient services are provided by a hospital): PROVIDED BY STAFF Srv: outpatient surgery unit (Indicates how outpatient surgery unit services are provided by a hospital): PROVIDED BY STAFF Srv: pharmacy (Indicates how pharmacy services are provided): PROVIDED UNDER ARRANGEMENT Srv: physical therapy (Indicates how physical therapy services are provided): PROVIDED UNDER ARRANGEMENT Srv: postoperative recovery room (Indicates how postoperative recovery room services are provided by a hospital): PROVIDED BY STAFF Srv: radiology (diagnostic) (Indicates how diagnostic radiology services are provided by a hospital): PROVIDED BY STAFF Srv: rehabilitation (Indicates how rehabilitation services are provided by a hospital): PROVIDED UNDER ARRANGEMENT Srv: speech pathology (Indicates how speech pathology services are provided): PROVIDED UNDER ARRANGEMENT Swing bed indicator (Indicates if a hospital provides swing bed services - Beds can be used for either hospital or long term care services): Yes Swing bed size code (Indicates the size of a hospital providing swing bed services): 49 OR FEWER BEDS Type of facility (Indicates the category which represents the type of facility): SHORT - TERM Srv: respiratory care (Indicates how respiratory care services are provided): PROVIDED UNDER ARRANGEMENT Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): NOT IN COMPLIANCE Current survey date (The date of the health or life safety code survey, whichever is later. the "official" survey date for the provider): Jun 1999 Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): NOT ELIGIBLE TO PARTICIPATE Participation date (The date a facility is first approved to provide Medicare and/or Medicaid services): Jul 1966 |
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