Jackson County Memorial Hospital Skilled Nursing Facility

LBN: Jackson County Memorial Hospital Skilled Nursing Facility

Jackson County Memorial Hospital Skilled Nursing Facility is an health care organization with primary practice located at 1200 E Pecan St , Altus OK 73521-6141. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Jackson County Memorial Hospital Skilled Nursing Facility can be contacted via phone (580) 379-5000, or through Hartgraves, Steve via phone (580) 379-5500.

Contact Information

Primary practice address

1200 E Pecan St Altus OK 73521-6141

Phone: (580) 379-5000

Fax: (580) 379-5509

Website:

Map and Directions

Authorized official contact:

Name: Hartgraves, Steve

Phone: (580) 379-5500

Health care specialties

Specialty	Code	License #	State
Nursing & Custodial Care Facilities / Skilled Nursing Facility	314000000X	2206	Oklahoma

Profile Details

NPI number	1356382899
LBN Legal business name	Jackson County Memorial Hospital Skilled Nursing Facility
DBA Doing business as
Authorized official	Hartgraves, Steve
Entity	Organization
Organization subpart ¹	No
Enumeration date	Jun 8th, 2006
Last updated	Oct 6th, 2022 - about 4 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

State	Type	Number	Issuer
All States	NPI	1356382899	NPPES
Oklahoma	MEDICAID	100699350A

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