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Contact Information

JACKSON COUNTY MEMORIAL HOSP PHCY
1200 E PECAN ST
ALTUS, OK73521-6141
 Phone: 580-379-5700
 Fax: 580-379-5709
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for JACKSON COUNTY MEMORIAL HOSP PHCY

NPI # 1518028380
LBN Legal business name JACKSON COUNTY MEMORIAL HOSP PHCY
Authorized official RETA BENNETT - (DIR OF PHCY)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2006
Last updated 05/15/2026 - About 3 weeks ago
Identifiers
OK License # 171259
Other 2072621 PK
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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