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JCMH MEDICAL CLINIC
NPI 1245614387
Clinic/Center - Rural Health in Altus, OK

Active since July 18, 2015CLIA 37D0896156 · Waiver
205 S PARK LN, ALTUS, OK 73521(580) 379-6650(580) 379-6659 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2022, Nov 30, 2015 (2 updates tracked since 2015).

About Jcmh Medical Clinic NPPES

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

JCMH MEDICAL CLINIC (NPI 1245614387) is a healthcare organization registered as a rural health in Altus, Oklahoma and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through January 3, 2028 and lists Steve Hartgraves, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1245614387
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameJACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY
Location Address205 S PARK LNAltus, OK 73521-5755
Mailing Address1200 E Pecan StAltus, OK 73521-6141 · (580) 379-5000
Phone(580) 379-6650
Fax(580) 379-6659
Organization SubpartNo
Authorized OfficialSteve HartgravesPresident/ceo · (580) 379-5500
Enumeration DateJuly 18, 2015
Last NPPES UpdateOctober 6, 20222 updates tracked since enumeration
NPPES CertifiedOctober 6, 2022
✔ NPI 1245614387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
205 S PARK LN, Altus, OK 73521
Open in Google Maps ↗

Other Names 1

Doing Business AsJcmh Medical Clinic

Other Identifiers 1

Medicaid200688800AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D0896156

Jcmh Medical Clinic · Altus, OK
Active · expires Jan 3, 2028
CLIA Number37D0896156
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 4, 2026
Certificate Expiration DateJanuary 3, 2028
Laboratory DirectorJoe Leverett
Laboratory Phone(580) 379-6650
Laboratory LocationJcmh Medical Clinic205 S Park Lane, Suite 210, Altus, OK 73521
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

RENAE L VITALE MSW, LCSW
Social Worker (Clinical)
205 S PARK LN
ALTUS, OK 73521
Jackson County (580) 379-6850
JORGE CARDENAS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
205 S PARK LN
ALTUS, OK 73521
Jackson County (580) 379-6650
RENAL TREATMENT CENTERS WEST INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
205 S PARK LN, STE 130
ALTUS, OK 73521
Jackson County (580) 482-1197
CAROL MARIE SHERMAN DO
Family Medicine
205 S PARK LN
ALTUS, OK 73521
Jackson County (580) 379-6720
JAMIE L HOKETT M.D.
Family Medicine
205 S PARK LN
ALTUS, OK 73521
Jackson County (580) 379-6735
DR. ALLISSA MARIE WHITE MD
Family Medicine
205 S PARK LN
ALTUS, OK 73521
Jackson County (580) 379-6700
MRS. RHONDA E VALDEZ LCSW
Social Worker (Clinical)
205 S PARK LN
ALTUS, OK 73521
Jackson County (580) 379-6850
SARA CALABRO M.A., LMFT
Marriage & Family Therapist
205 S PARK LN
ALTUS, OK 73521
Jackson County (580) 379-6850

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 1245614387. It was assigned to this organization in the NPPES registry on July 18, 2015. The provider is doing business as Jcmh Medical Clinic.

Where is Jackson County Memorial Hospital Authority located?

Jackson County Memorial Hospital Authority is located at 205 S Park Ln, Altus, OK 73521. The listed phone number is (580) 379-6650.

What is Jackson County Memorial Hospital Authority's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Jackson County Memorial Hospital Authority hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0896156) is associated with this NPI, valid through January 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jackson County Memorial Hospital Authority accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Medica 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 3 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.