# JEFFERSON COUNTY HEALTHCARE AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JEFFERSON COUNTY HEALTHCARE AUTHORITY
- **Other names:** Waurika Family Medical Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942754510
- **Legal business name:** JEFFERSON COUNTY HEALTHCARE AUTHORITY
- **Authorized official:** RICHARD GILLESPIE (CEO)
- **Authorized official phone:** (580) 228-2344

## Contact information

- **Practice address:** 9172 US HWY 70, INTERSECTION HWYS 70 & 81, WAURIKA, OK 73573-0090
- **Practice address phone:** (580) 228-3669
- **Practice address fax:** (580) 228-2529
- **Mailing address:** 9172 US HWY 70, INTERSECTION HWYS 70&81, WAURIKA, OK 73573-0090
- **Mailing address phone:** (580) 228-3669
- **Mailing address fax:** (580) 228-2529

## Taxonomy

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

## Other

- **Enumeration date:** 08/11/2016
- **Last updated:** 08/16/2016