# SHORTGRASS COMMUNITY HEALTH CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SHORTGRASS COMMUNITY HEALTH CENTER, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104768308
- **Legal business name:** SHORTGRASS COMMUNITY HEALTH CENTER, INC
- **Authorized official:** JANET LYNN TIPTON (OFFICE MANAGER)
- **Authorized official phone:** (580) 688-2800

## Contact information

- **Practice address:** 1505 WATTS ST, SAYRE, OK 73662-1312
- **Practice address phone:** (580) 928-2222
- **Practice address fax:** (580) 928-9605
- **Mailing address:** 1505 WATTS ST, SAYRE, OK 73662-1312
- **Mailing address phone:** (580) 928-2222
- **Mailing address fax:** (580) 928-9605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |

## Other

- **Enumeration date:** 04/07/2026
- **Last updated:** 04/07/2026