Organization
SHORTGRASS COMMUNITY HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET TIPTON (OFFICE MANAGER)
(580) 688-2800
Entity
Organization
Contact information
Practice address
400 E SYCAMORE ST, HOLLIS, OK 73550-1436
(580) 688-2800
(580) 688-2193
Mailing address
400 E SYCAMORE ST, HOLLIS, OK 73550-1436
(580) 688-2800
(580) 688-2193
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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