JCMH PEDIATRIC CLINIC
NPI 1407230790
Clinic/Center - Rural Health in Altus, OK

Active since July 16, 2015CLIA 37D1030473 · Waiver
101 S PARK LN, SUITE 100, ALTUS, OK 73521(580) 379-6100(580) 379-6109 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jcmh Pediatric Clinic NPPES

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

JCMH PEDIATRIC CLINIC (NPI 1407230790) 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 September 7, 2026 and lists Steve Hartgraves, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1407230790
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameJACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY
Location Address101 S PARK LN, SUITE 100Altus, OK 73521-5731
Mailing Address1200 E Pecan StAltus, OK 73521-6141 · (580) 379-5000
Fax(580) 379-6109
Organization SubpartNo
Authorized OfficialSteve HartgravesPresident/ceo · (580) 379-5500
Enumeration DateJuly 16, 2015
Last NPPES UpdateOctober 6, 2022
NPPES CertifiedOctober 6, 2022
NPI 1407230790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
101 S PARK LN, Altus, OK 73521

Other Names 1

Doing Business AsJcmh Pediatric Clinic

Other Identifiers 1

Medicaid200688750AOK

Accepted 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 37D1030473

Jcmh Pediatric Clinic · Altus, OK
Active · expires Sep 7, 2026
CLIA Number37D1030473
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2024
Certificate Expiration DateSeptember 7, 2026
Laboratory DirectorLindsey King
Laboratory Phone(580) 379-6100
Laboratory LocationJcmh Pediatric Clinic101 S Park Lane, 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 9

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

Obstetrics & Gynecology
101 S PARK LN
ALTUS, OK 73521
Surgery
101 S PARK LN
ALTUS, OK 73521
Surgery
101 S PARK LN
ALTUS, OK 73521
Obstetrics & Gynecology
101 S PARK LN
ALTUS, OK 73521
Obstetrics & Gynecology
101 S PARK LN
ALTUS, OK 73521
Obstetrics & Gynecology
101 S PARK LN
ALTUS, OK 73521
Pediatrics
101 S PARK LN
ALTUS, OK 73521
Obstetrics & Gynecology
101 S PARK LN
ALTUS, OK 73521

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 1407230790. It was assigned to this organization in the NPPES registry on July 16, 2015. The provider is doing business as Jcmh Pediatric Clinic.

Where is Jackson County Memorial Hospital Authority located?

Jackson County Memorial Hospital Authority is located at 101 S Park Ln Suite 100, Altus, OK 73521. The listed phone number is (580) 379-6100.

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 37D1030473) is associated with this NPI, valid through September 7, 2026. 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 with the weekly NPPES data releases published by CMS.