Organization
JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY
Active
Other names
Harmon Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE HARTGRAVES (PRESIDENT/CEO)
(580) 379-5500
Entity
Organization
Contact information
Practice address
400 E CHESTNUT ST, HOLLIS, OK 73550-2030
(580) 688-3363
(580) 688-9730
Mailing address
400 E CHESTNUT ST, P.O. BOX 791, HOLLIS, OK 73550-2030
(580) 688-3363
(580) 688-9730
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37Z338
MEDICARE ID
—
Enumeration date
01/31/2008
Last updated
10/06/2022
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