JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY (NPI# 1699724757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699724757 |
| Entity Type | Organization |
| Organization Name | JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY |
| Other Organization Name | JACKSON COUNTY MEMORIAL HOSPITAL HOME CARE |
| Practice Address |
1204 E Tamarack Rd Altus OK 73521-1234 |
| Practice Telephone | 5803796900 |
| Practice Fax Number | 5803796909 |
| Mailing Telephone | 5803796900 |
| Mailing Fax Number | 5803796909 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2017-05-09 |
| Authorized Official Name | MR. STEVE HARTGRAVES (PRESIDENT/CEO) |
| Authorized Official Telephone | 5803795000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 7150 | OK | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100699350A | 05 |
| Other Name | Type Code |
|---|---|
| Jackson County Memorial Hospital Home Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1003094129 | Jackson County Memorial Hospital Authority | General Acute Care Hospital | 400 E Chestnut St, Hollis, OK 73550-2030 | 2008-01-31 |
| 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 |
1204 E TAMARACK RD |
| City | ALTUS |
| State | OK |
| Zip Code | 73521-1234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235170754 | Jackson County Memorial Hospital Authority | Hospice Care, Community Based | 1204 E Tamarack Rd, Altus, OK 73521-1234 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982263752 | Shortgrass Community Health Center, Inc | Clinic/Center | 211 East Broadway, Altus, OK 73521 | 2019-06-06 |
| 1598025827 | Dustin James Robins | Counselor | 1052 E Cherry St, Altus, OK 73521 | 2012-05-21 |
| 1831471101 | Manda Lea Stephens | Nurse Practitioner | 205 S. Park Lane, Altus, OK 73521 | 2011-09-13 |
| 1649439167 | Lisa Michelle Shelton | Pharmacist | 2500 N Main, Altus, OK 73521 | 2008-06-09 |
| 1114192911 | Richard G. Henry | Health Maintenance Organization | 112 Val Verde, Altus, OK 73521 | 2008-04-23 |
| 1194881060 | Resters Diabetic Shoes and Home Medical | Durable Medical Equipment & Medical Supplies | 103 West Commerce Street, Altus, OK 73521 | 2006-12-28 |
| 1265592141 | Noble L Ballard.medical Clinic, Pllc | Family Medicine | 1015 East Broadway Street, Stuite 101, Altus, OK 73521 | 2006-12-11 |
| 1457377822 | Comanche County Healthcare | Family Medicine | 3000 N Main St, Suite A, Altus, OK 73521 | 2006-07-15 |
| 1326095381 | Charles C Carter Md Dph Pllc | Family Medicine | 1015 E Broadway St, Suite 102, Altus, OK 73521 | 2006-05-27 |
| 1013988179 | Carol Marie Sherman | Family Medicine | 205 S Park Ln, Altus, OK 73521 | 2006-01-27 |
| Find all providers in zip 73521 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124354105 | Healthwatch Health Care, LLC | Home Health | 103 S Hudson St, Altus, OK 73521-4215 | 2009-10-26 |
| 1780646869 | Sunshine Homecare Inc. | Home Health | 108 S Spurgeon St, Altus, OK 73521-5532 | 2006-04-04 |
| 1003208331 | Fusion Home Health, LLC | Home Health | 301 E Broadway St, Suite B, Altus, OK 73521-5507 | 2015-02-24 |
| 1801298013 | Health Watch Health Care of Altus, LLC | Home Health | 103 S Hudson St, Altus, OK 73521-4215 | 2014-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477166445 | Legacy Home Health, LLC | Home Health | 1631 N Main St Ste B, Muskogee, OK 74401-4451 | 2020-08-28 |
| 1508488727 | Healing Hearts Home Health and Hospice LLC | Home Health | 1400 N Porter Ave Ste 110, Norman, OK 73071-6604 | 2020-05-11 |
| 1144841891 | Full Motion Physical Therapy | Home Health | 6211 Pearl Snap Trl, Stillwater, OK 74074-7457 | 2020-05-05 |
| 1891315461 | Ugaf, LLC | Home Health | 3803 S 79th East Ave Ste 100, Tulsa, OK 74145-3252 | 2020-04-23 |
| 1437782406 | Uhs of Texoma Inc | Home Health | 372 Bryan Dr Ste 110, Durant, OK 74701-3466 | 2020-02-19 |
| 1073145645 | Felicia Antoinette Thompson | Home Health | 2220 N Norfolk Ave, Tulsa, OK 74106-3917 | 2020-02-11 |
| 1770120396 | 1st Choice Home Health Care & Hospice, Inc | Home Health | 1211 N Shartel Ave Ste 905a, Oklahoma City, OK 73103-2400 | 2019-12-02 |
| 1346886371 | Andrew Lee Garrean | Home Health | 4148 E 51st St, Tulsa, OK 74135-3609 | 2019-11-25 |
| 1891345021 | New Path Quality Home Healthcare LLC | Home Health | 240 E Apache St Ste 4, Tulsa, OK 74106-3702 | 2019-09-19 |
| 1760032171 | Caring Hearts Home Health, LLC | Home Health | 2220 W Houston St Ste E, Broken Arrow, OK 74012-3504 | 2019-09-17 |
| 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.