| Jcmh Medical Clinic | |
|
205 S Park Ln Altus OK 73521-5755 | |
| (580) 379-6650 | |
| (580) 379-6659 |
| Full Name | Jcmh Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 205 S Park Ln, Altus, Oklahoma |
| Authorized Official Name and Position | Steve Hartgraves (PRESIDENT/CEO) |
| Authorized Official Contact | 5803795500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jcmh Medical Clinic 1200 E Pecan St Altus OK 73521-6141 Ph: (580) 379-5000 | Jcmh Medical Clinic 205 S Park Ln Altus OK 73521-5755 Ph: (580) 379-6650 |
| NPI Number | 1245614387 |
|---|---|
| Provider Enumeration Date | 07/18/2015 |
| Last Update Date | 10/06/2022 |
| Medicare PECOS PAC ID | 1759293178 |
|---|---|
| Medicare Enrollment ID | O20151201000580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245614387 | NPI | - | NPPES |
| 200688800A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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