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Organization
JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY
Active
Organization
JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY
Active
Other names
JCMH Pediatric Clinic, JCMH PEDIATRIC CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE HARTGRAVES (PRESIDENT/CEO)
(580) 379-5500
Entity
Organization
Contact information
Practice address
101 S PARK LN, SUITE 100, ALTUS, OK 73521-5731
(580) 379-6100
(580) 379-6109
Mailing address
1200 E PECAN ST, ALTUS, OK 73521-6141
(580) 379-5000
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/16/2015
Last updated
10/06/2022
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