Shortgrass Community Health Center, Inc
Organization Active NPI Family Medicine Physician · Sayre, OK
NPI 1104768308 · NPPES record last updated Apr 7, 2026
Key facts
- NPI
- 1104768308
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- SHORTGRASS COMMUNITY HEALTH CENTER, INC
- Practice address
- 1505 Watts St
Sayre, OK 73662-1312 - Phone
- (580) 928-2222
- Fax
- (580) 928-9605
- NPI assigned
- Apr 7, 2026
- Organization subpart
- Yes
- Parent organization (as reported)
- SHORTGRASS COMMUNITY HEALTH CENTER, INC
Authorized official
- Name
- Janet Lynn Tipton
- Title
- Office Manager
- Phone
- (580) 688-2800
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Shortgrass Community Health Center Inc
- Part of
- Shortgrass Community Health Center Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Federally Qualified Health Center (FQHC) | 261QF0400X |
Addresses
Primary practice location
1505 Watts St
Sayre, OK 73662-1312
Mailing address
1505 Watts St
Sayre, OK 73662-1312
Phone (580) 928-2222
Other providers in Sayre, OK
- Sayre Memorial Hospital, Inc.
- Sayre Memorial Hospital, Inc.
- Sayre Public Schools
- Catherine Schubert
- Shiloh Imaging Center LLC
- Callista Denee Shrum
- Jimmy Anderson Shrum
- SMH Acquisition LLC
- SMH Acquisition,LLC
- Edwinna Smith
All providers in Sayre, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.