JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY; NPI #1235170754

Contact Information

JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY

1204 E TAMARACK RD
ALTUS, OK 73521-1234

Phone: 580-379-6900
Fax: 580-379-6909
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY

NPI # 1235170754

LBN Legal business name JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY

Authorized official STEVE HARTGRAVES - (PRESIDENT/CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/08/2006

Last updated 10/06/2022 - About 4 years ago

Identifiers

License #

4040

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY

Reviews for JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY