Organization
JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY
Active
Other names
Jackson County Memorial Hospital Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE HARTGRAVES (PRESIDENT/CEO)
(580) 379-5000
Entity
Organization
Contact information
Practice address
1204 E TAMARACK RD, ALTUS, OK 73521-1234
(580) 379-6900
(580) 379-6909
Mailing address
1204 E TAMARACK RD, ALTUS, OK 73521-1234
(580) 379-6900
(580) 379-6909
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7150
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699350A
—
OK
Enumeration date
05/08/2006
Last updated
10/06/2022
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