Jcmh Women's Health Associates | |
101 S Park Ln Ste 200 Altus OK 73521-5731 | |
(580) 379-6140 | |
(580) 379-6149 |
Full Name | Jcmh Women's Health Associates |
---|---|
Speciality | Clinic/Center |
Location | 101 S Park Ln Ste 200, 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 Women's Health Associates 1200 E Pecan St Altus OK 73521-6141 Ph: (580) 379-5000 | Jcmh Women's Health Associates 101 S Park Ln Ste 200 Altus OK 73521-5731 Ph: (580) 379-6140 |
NPI Number | 1972987014 |
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Provider Enumeration Date | 07/18/2015 |
Last Update Date | 10/06/2022 |
Medicare PECOS PAC ID | 1759293178 |
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Medicare Enrollment ID | O20150922001444 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972987014 | NPI | - | NPPES |
100699350P | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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