JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY (NPI# 1003094129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003094129 |
| Entity Type | Organization |
| Organization Name | JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY |
| Other Organization Name | HARMON MEMORIAL HOSPITAL |
| Practice Address |
400 E Chestnut St Hollis OK 73550-2030 |
| Mailing Address |
400 E Chestnut St P.o. Box 791 Hollis OK 73550-2030 |
| Practice Telephone | 5806883363 |
| Practice Fax Number | 5806889730 |
| Mailing Telephone | 5806883363 |
| Mailing Fax Number | 5806889730 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2019-06-05 |
| Authorized Official Name | STEVE HARTGRAVES (PRESIDENT/CEO) |
| Authorized Official Telephone | 5803795500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE ID | 37Z338 | 01 |
| Other Name | Type Code |
|---|---|
| Harmon Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699724757 | Jackson County Memorial Hospital Authority | Home Health | 1204 E Tamarack Rd, Altus, OK 73521-1234 | 2006-05-08 |
| 1962978916 | Jackson County Memorial Hospital Authority | Clinic/Center | 304 S Park Ln Ste B, Altus, OK 73521-5754 | 2018-10-17 |
| 1245614387 | Jackson County Memorial Hospital Authority | Clinic/Center | 205 S Park Ln, Altus, OK 73521-5755 | 2015-07-18 |
| 1972987014 | Jackson County Memorial Hospital Authority | Clinic/Center | 101 S Park Ln, Suite 200, Altus, OK 73521-5731 | 2015-07-18 |
| 1407230790 | Jackson County Memorial Hospital Authority | Clinic/Center | 101 S Park Ln, Suite 100, Altus, OK 73521-5731 | 2015-07-16 |
| 1093199382 | Jackson County Memorial Hospital Authority | Clinic/Center | 114 S Louis Tittle Ave, Mangum, OK 73554-4406 | 2015-07-16 |
| 1912138553 | Jackson County Memorial Hospital Authority | Clinic/Center | 1001 Us Highway 83 N, Childress, TX 79201-2322 | 2009-07-30 |
| 1235170754 | Jackson County Memorial Hospital Authority | Hospice Care, Community Based | 1204 E Tamarack Rd, Altus, OK 73521-1234 | 2006-06-08 |
| 1093763781 | Jackson County Memorial Hospital Authority | General Acute Care Hospital | 1200 E Pecan St, Altus, OK 73521-6141 | 2006-05-04 |
| 1295735991 | Jackson County Memorial Hospital Authority | General Acute Care Hospital | 400 E Chestnut St, Hollis, OK 73550-2030 | 2005-07-26 |
| Street Address |
400 E CHESTNUT ST |
| City | HOLLIS |
| State | OK |
| Zip Code | 73550-2030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043213010 | Southwest Oklahoma Ambulance Authority | Ambulance | 400 E Chestnut St, Hollis, OK 73550-2030 | 2005-05-24 |
| 1700138336 | Harmon County Healthcare Authority | Clinic/Center | 400 E Chestnut St, Hollis, OK 73550-2030 | 2012-10-05 |
| 1295735991 | Jackson County Memorial Hospital Authority | General Acute Care Hospital | 400 E Chestnut St, Hollis, OK 73550-2030 | 2005-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689121147 | Amy Michelle Ashcraft | Nurse Practitioner | 920 N 8th, Hollis, OK 73550 | 2016-09-01 |
| 1366611824 | Blackhawk Mangum, LLC | Clinic/Center | 513 East Chestnut, Hollis, OK 73550 | 2008-02-28 |
| 1114391315 | Kimberly Yvette Hestand | Nurse Practitioner | 400 E Sycamore St, Hollis, OK 73550 | 2015-11-25 |
| 1619081189 | William Paul Estes | Dentist | 400 E Sycamore St, Hollis, OK 73550-1436 | 2006-08-19 |
| 1134744469 | Justin Cade Cole | Pharmacist | 400 E Sycamore St, Hollis, OK 73550-1436 | 2020-06-12 |
| 1710316476 | Leeann Boyles Stanford | Nurse Practitioner | 400 E Sycamore St, Hollis, OK 73550-1436 | 2013-11-04 |
| 1639415581 | Lacy Elizabeth Moon | Counselor | 400 E Sycamore St, Hollis, OK 73550-1436 | 2012-12-21 |
| 1255695201 | Shortgrass Community Health Center, Inc | Clinic/Center | 400 E Sycamore St, Hollis, OK 73550-1436 | 2012-06-25 |
| 1366654147 | Harmon County Healthcare Authority | Nursing Facility/Intermediate Care Facility | 400 E Sycamore St, Hollis, OK 73550-1436 | 2007-05-04 |
| 1831319334 | Bridget A Moss | Nurse Practitioner | 400 E Sycamore St, Hollis, OK 73550-1436 | 2007-04-26 |
| Find all providers in zip 73550 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295735991 | Jackson County Memorial Hospital Authority | General Acute Care Hospital | 400 E Chestnut St, Hollis, OK 73550-2030 | 2005-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285047779 | Cordell Hospital Authority | General Acute Care Hospital | 1109 N Glenn L. English St, Cordell, OK 73632-2010 | 2014-06-03 |
| 1083048417 | Mercy Hospital Kingfisher, Inc | General Acute Care Hospital | 1000 Kingfisher Regional Hospital Drive, Kingfisher, OK 73750 | 2013-08-21 |
| 1326352204 | Weatherford Hospital Authority | General Acute Care Hospital | 3727 Legacy, Weatherford, OK 73096 | 2010-08-03 |
| 1922329853 | Cah Acquisition Company 16 LLC | General Acute Care Hospital | 401 Nw H Street, Stigler, OK 74462 | 2010-06-15 |
| 1427295872 | Cleveland Area Hospital Holdings, Inc. | General Acute Care Hospital | 1401 West Pawnee, Cleveland, OK 74020 | 2009-01-07 |
| 1427234566 | Tulsa Hospitalists | General Acute Care Hospital | 15608 Traditions Dr, Edmond, OK 73013-1150 | 2008-01-19 |
| 1942486733 | Mercy Hospital of Pittsburgh | General Acute Care Hospital | 1100 N Lindsay Ave, Oklahoma City, OK 73104-5410 | 2008-01-11 |
| 1053447086 | Jane Phillips Nowata Health Center | General Acute Care Hospital | 237 S Locust St, Nowata, OK 74048-3660 | 2007-02-26 |
| 1073617619 | Seiling Municipal Hospital Authority | General Acute Care Hospital | Hwy 60, Ne, Seiling, OK 73663 | 2006-09-12 |
| 1497857437 | Roger Mills County Hospital Authority | General Acute Care Hospital | 501 S Ll Males Ave, Cheyenne, OK 73628-0219 | 2006-09-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.