Jackson County Memorial Hospital Authority

LBN: Jackson County Memorial Hospital Authority
Jackson County Memorial Hospital Authority is an health care organization with primary practice located at 400 E Chestnut St , Hollis OK 73550-2030. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Jackson County Memorial Hospital Authority can be contacted via phone (580) 688-3363, or through Hartgraves, Steve via phone (580) 379-5500.

Contact Information

Primary practice address
400 E Chestnut St Hollis OK 73550-2030
Phone: (580) 688-3363
Fax: (580) 688-9730
Website:
Map and Directions
Authorized official contact:
Name: Hartgraves, Steve
Phone: (580) 379-5500

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 2211 Oklahoma

Profile Details

NPI number 1295735991
LBN Legal business name Jackson County Memorial Hospital Authority
DBA Doing business as
Authorized official Hartgraves, Steve
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2005
Last updated Jun 5th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295735991 NPPES
Oklahoma MEDICAID 100700780B
Oklahoma Other 371338

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