JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY
NPI 1053240184
Medicare Defined Swing Bed Unit in Altus, OK
NPI Status: Active since May 15, 2026
Contact Information
1200 E PECAN ST
ALTUS, OK
ZIP 73521
Phone: (580) 379-5000
Fax: (580) 379-5509
This NPI profile has been added to the NPI registry within the last 30 days.
- Organization
- Medicare Defined Swing Bed Unit
- CLIA Number: 37D0472216
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 08-31-2026
About JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY
This page provides the complete NPI Profile along with additional information for Jackson County Memorial Hospital Authority, a provider established in Altus, Oklahoma operating as a Medicare Defined Swing Bed Unit. The healthcare provider is registered in the NPI registry with number 1053240184 assigned on May 2026. The practitioner's primary taxonomy code is 275N00000X. The provider is registered as an organization and their NPI record was last updated May 2026. The authorized official of this NPI record is Steven Hartgraves (President/ceo)
- NPI
- 1053240184
- Provider Name
- JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY
- Entity Type
- Organization
- Location Address
- 1200 E PECAN ST ALTUS, OK 73521
- Location Phone
- (580) 379-5000
- Location Fax
- (580) 379-5509
- Mailing Address
- 1200 E PECAN ST ALTUS, OK 73521
- Mailing Phone
- (580) 379-5000
- Mailing Fax
- (580) 379-5509
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-15-2026
- Last Update Date
- 05-15-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Medicare Defined Swing Bed Unit
- Taxonomy Code
- 275N00000X
- Type
- Hospital Units
- Taxonomy Description
- A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 37D0472216
- Facility Type
- Home Health Agency
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- SALLIE FANNING
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Jackson County Memorial Hospital Authority to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053240184, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 46 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ALTUS, OK 73521
ALTUS, OK 73521
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053240184, enumerated as an "organization" on May 15, 2026.
The provider is located at 1200 E PECAN ST ALTUS, OK 73521 and the phone number is (580) 379-5000.
Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.
