SHORTGRASS COMMUNITY HEALTH CENTER, INC
NPI 1083286975
Pharmacy - Clinic Pharmacy in Hollis, OK

Q: What is Shortgrass Community Health Center, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Active since July 12, 2021

400 E SYCAMORE ST, HOLLIS, OK 73550(580) 688-2800 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Shortgrass Community Health Center, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHORTGRASS COMMUNITY HEALTH CENTER, INC (NPI 1083286975) is a healthcare organization registered as a clinic pharmacy in Hollis, Oklahoma and active in the NPI registry since July 2021. The organization lists Janet Lynn Tipton, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1083286975

Entity TypeOrganization

Primary Taxonomy3336C0002X

Legal Business NameSHORTGRASS COMMUNITY HEALTH CENTER, INC

Location Address400 E SYCAMORE STHollis, OK 73550-1436

Mailing Address400 E Sycamore StHollis, OK 73550-1436 · (580) 688-2800

Phone(580) 688-2800

Organization SubpartNo

Authorized OfficialJanet Lynn TiptonOffice Manager · (580) 688-2800

Enumeration DateJuly 12, 2021

NPPES CertifiedJuly 12, 2021

✔ NPI 1083286975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers

Taxonomy Code3336C0002X

Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

400 E SYCAMORE ST, Hollis, OK 73550

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shortgrass Community Health Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateOklahomaEnrollment IDO20220217002246Non-DME Part B · PharmacyDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM J KOK MD

Family Medicine