Organization · Type 2 NPI

Jackson County Memorial Hospital Authority

Rural Health Clinic/Center · Hollis, OK

NPI number 1619801149 Active

Practice location

400 E Chestnut St Ste 100
Hollis, OK 73550-2030

Fax (580) 688-3496

Mailing address

1200 E Pecan St
Altus, OK 73521-6192

Specialties and licenses

TaxonomyCodeLicense
Rural Health Clinic/Center Primary 261QR1300XNone listed

Rural Health Clinic/Center: Definition to come...

About NPI 1619801149

Jackson County Memorial Hospital Authority's National Provider Identifier is 1619801149, issued on Jun 10, 2026. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Hollis, OK. The record was last updated on Jun 11, 2026.