JACKSON CO MEM HOSP
NPI 1093763781
General Acute Care Hospital in Altus, OK
About Jackson Co Mem Hosp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON CO MEM HOSP (NPI 1093763781) is a healthcare organization registered as a general acute care hospital in Altus, Oklahoma and active in the NPI registry since May 2006. The organization lists Steve Hartgraves, President Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jackson Co Mem Hosp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
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.
Clinicians Billing Medicare Through This Organization
62Medicare enrollment records show 62 clinicians reassign Medicare billing to Jackson Co Mem Hosp, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 40 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 12
Nearest to this location (20)
See all 62Altus, OK 73521
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jackson County Memorial Hospital Authority's NPI number?
The NPI number for Jackson County Memorial Hospital Authority is 1093763781. It was assigned to this organization in the NPPES registry on May 4, 2006. The provider is also known as Jackson Co Mem Hosp.
Where is Jackson County Memorial Hospital Authority located?
Jackson County Memorial Hospital Authority is located at 1200 E Pecan St, Altus, OK 73521. The listed phone number is (580) 379-5000.
What is Jackson County Memorial Hospital Authority's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.
Is Jackson County Memorial Hospital Authority enrolled in Medicare?
Yes. Jackson County Memorial Hospital Authority is registered in the Medicare PECOS enrollment system.
When is Jackson County Memorial Hospital Authority's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jackson County Memorial Hospital Authority?
According to the CMS Revalidation Reassignment List (October 2026 release), 62 clinicians in 12 Medicare specialties reassign their Medicare billing to Jackson County Memorial Hospital Authority. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (14), Certified Registered Nurse Anesthetist (CRNA) (10) and Emergency Medicine (8). Of these, 3 practice at this address and 40 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jackson County Memorial Hospital Authority accept?
Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health and UnitedHealthcare list Jackson County Memorial Hospital Authority as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jackson County Memorial Hospital Authority was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jackson Co Mem Hosp · NPI 1093763781
General Acute Care Hospital organization in Altus, Oklahoma. Organization record, active in the CMS NPPES registry since May 4, 2006.
## Identity
- **NPI:** 1093763781 (Entity type: Organization)
- **Enumerated:** May 4, 2006
- **Primary specialty:** General Acute Care Hospital · taxonomy 282N00000X
- **Legal business name:** Jackson County Memorial Hospital Authority
- **Organization subpart:** No
- **Authorized official:** Steve Hartgraves, PRESIDENT CEO
## Practice location
- **Address:** 1200 E PECAN ST, Altus, OK 73521-6141
- **Phone:** (580) 379-5000 · **Fax:** (580) 379-5509
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Oklahoma, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 62 clinicians in 12 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (14), Certified Registered Nurse Anesthetist (CRNA) (10), Emergency Medicine (8); 3 practice at this address and 40 within 10 miles; [full list](https://npiprofile.com/npi/1093763781/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 6, 2022
- **Other identifiers:** Medicaid 100699350A (OK)
---
Source: [NPI Profile](https://npiprofile.com/npi/1093763781) · Data from the CMS NPPES public registry.