# JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JCMH Rural Health Clinic of Hollis
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619801149
- **Authorized official:** MR. STEVEN HARTGRAVES (PRESIDENT/CEO)
- **Authorized official phone:** (580) 379-5500

## Contact information

- **Practice address:** 400 E CHESTNUT ST STE 100, HOLLIS, OK 73550-2030
- **Practice address phone:** (580) 688-3494
- **Practice address fax:** (580) 688-3496
- **Mailing address:** 1200 E PECAN ST, ALTUS, OK 73521-6192
- **Mailing address phone:** (580) 379-5000
- **Mailing address fax:** (580) 379-5509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/10/2026
- **Last updated:** 06/11/2026
