SHORTGRASS COMMUNITY HEALTH CENTER, INC (NPI# 1255695201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255695201 |
| Entity Type | Organization |
| Organization Name | SHORTGRASS COMMUNITY HEALTH CENTER, INC |
| Practice Address |
400 E Sycamore St Hollis OK 73550-1436 |
| Practice Telephone | 5806882800 |
| Practice Fax Number | 5806882193 |
| Mailing Telephone | 5806882800 |
| Mailing Fax Number | 5806882193 |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |
| Authorized Official Name | MRS. JANET TIPTON (OFFICE MANAGER) |
| Authorized Official Telephone | 5806882800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982263752 | Shortgrass Community Health Center, Inc | Clinic/Center | 211 East Broadway, Altus, OK 73521 | 2019-06-06 |
| Street Address |
400 E SYCAMORE ST |
| City | HOLLIS |
| State | OK |
| Zip Code | 73550-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1114391315 | Kimberly Yvette Hestand | Nurse Practitioner | 400 E Sycamore St, Hollis, OK 73550 | 2015-11-25 |
| 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 |
| 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 |
| 1104961325 | Vickie June Godwin | Marriage & Family Therapist | 400 E Sycamore St, Hollis, OK 73550-1436 | 2007-02-21 |
| 1033252804 | William J Kok | Family Medicine | 400 E Sycamore St, Hollis, OK 73550-1436 | 2007-02-14 |
| 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 |
| 1609857754 | Akram R. Abraham | Family Medicine | 920 N 8th St, Hollis, OK 73550-2026 | 2005-11-07 |
| 1922629138 | Stormy Dawn Smith | Nurse Practitioner | 920 N 8th St, Hollis, OK 73550-2026 | 2020-04-28 |
| 1376953943 | Sharon Ann Bowen | Clinical Nurse Specialist | 920 N 8th St, Hollis, OK 73550-2026 | 2014-05-05 |
| 1811327836 | Beverly Cooper | Nurse Practitioner | 920 N 8th St, Hollis, OK 73550-2026 | 2013-11-13 |
| 1225210248 | Akram R. Abraham, M.d.pc | Family Medicine | 920 N 8th St, Hollis, OK 73550-2026 | 2007-11-30 |
| 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 |
| 1003094129 | Jackson County Memorial Hospital Authority | General Acute Care Hospital | 400 E Chestnut St, Hollis, OK 73550-2030 | 2008-01-31 |
| Find all providers in zip 73550 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404965 | Variety Care, Inc. | Clinic/Center | 201 Ne 50th St Ste 117, Oklahoma City, OK 73105-1811 | 2020-10-13 |
| 1699318550 | Community Health Center of Northeast Oklahoma, Inc. | Clinic/Center | 220 S Mickey Mantle Blvd, Commerce, OK 74339-2924 | 2019-10-23 |
| 1013567940 | Community Health Center of Southeast Kansas, Inc. | Clinic/Center | 7 S 1st St, Wyandotte, OK 74370-2268 | 2019-09-12 |
| 1013569961 | Community Health Connection, Inc. | Clinic/Center | 13702 E 46th Pl, Tulsa, OK 74134-5919 | 2019-07-11 |
| 1184286726 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 302 W Smith Street, Stratford, OK 74872-4648 | 2019-07-03 |
| 1982263752 | Shortgrass Community Health Center, Inc | Clinic/Center | 211 East Broadway, Altus, OK 73521 | 2019-06-06 |
| 1265902589 | Community Health Center of Northeast Oklahoma | Clinic/Center | 244 S Scraper Suite D, Vinita, OK 74301-3716 | 2018-11-29 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1306352547 | Variety Care, Inc. | Clinic/Center | 721 W Britton Rd, Oklahoma City, OK 73114-2909 | 2017-12-26 |
| 1568976991 | Arkansas Verdigris Valley Health Centers,inc. | Clinic/Center | 201 North 32nd Street, Muskogee, OK 74401-2104 | 2017-11-21 |
| 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.