| Shortgrass Community Health Center, Inc | |
|
400 E Sycamore St Hollis OK 73550-1436 | |
| (580) 688-2800 | |
| (580) 688-2193 |
| Full Name | Shortgrass Community Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 E Sycamore St, Hollis, Oklahoma |
| Authorized Official Name and Position | Janet Tipton (OFFICE MANAGER) |
| Authorized Official Contact | 5806882800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shortgrass Community Health Center, Inc 400 E Sycamore St Hollis OK 73550-1436 Ph: (580) 688-2800 | Shortgrass Community Health Center, Inc 400 E Sycamore St Hollis OK 73550-1436 Ph: (580) 688-2800 |
| NPI Number | 1255695201 |
|---|---|
| Provider Enumeration Date | 06/25/2012 |
| Last Update Date | 06/25/2012 |
| Medicare PECOS PAC ID | 9234385535 |
|---|---|
| Medicare Enrollment ID | O20120801000672 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255695201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Akram R. Abraham, M.d.pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 920 N 8th St, Hollis, OK 73550 Phone: 580-688-2200 Fax: 580-688-2229 | |
Schafer Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 E Chestnut St, Hollis, OK 73550 Phone: 580-688-3314 Fax: 580-688-9530 | |
Blackhawk Mangum, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 513 East Chestnut, Hollis, OK 73550 Phone: 580-688-3314 Fax: 580-688-9530 | |
Harmon County Healthcare Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 E Chestnut St, Hollis, OK 73550 Phone: 580-688-2800 Fax: 580-688-2193 | |
Richard W. Schafer, D.o., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 E Chestnut St, Hollis, OK 73550 Phone: 580-688-3314 Fax: 580-688-9530 |