NPIMap

Organization Active NPI

Shortgrass Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Altus, OK
National Provider Identifier
1982263752
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SHORTGRASS COMMUNITY HEALTH CENTER, INC
Practice address
101 S Hudson St
Altus, OK 73521-4215
Phone
(580) 688-2800
Fax
(580) 688-2193
NPI assigned
Jun 6, 2019
Last updated
Dec 14, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SHORTGRASS COMMUNITY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Janet Lynn TiptonNPI 1790557924
Title
Office Manager
Phone
(680) 688-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

101 S Hudson St
Altus, OK 73521-4215

Mailing address

400 East Sycamore Street
Hollis, OK 73550
Phone (680) 688-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121101000597 OK Part B Supplier - Clinic/Group Practice 9234385535 Receives reassigned benefits from 12 practitioners
1 other NPI on this enrollment
Practice locations: Altus, OK; Hollis, OK

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2051994Shortgrass Community Health Center, Inc101 S Hudson St, Altus, OK 73521Certificate of waiverJan 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Shortgrass Community Health Center Inc4 organizations share this tax ID, including this one
Part of
Shortgrass Community Health Center Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 S Hudson St
Altus, OK 73521
Phone (580) 301-6154

111 N Hudson St
Altus, OK 73521
Phone (580) 303-9541

211 E Broadway St
Altus, OK 73521
Phone (580) 471-8000

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1982263752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EAST SYCAMORE STREET",
            "city": "HOLLIS",
            "state": "OK",
            "postal_code": "73550",
            "telephone_number": "680-688-2800",
            "fax_number": "580-886-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S HUDSON ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735214215",
            "telephone_number": "580-688-2800",
            "fax_number": "580-688-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORTGRASS COMMUNITY HEALTH CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHORTGRASS COMMUNITY HEALTH CENTER",
        "enumeration_date": "2019-06-06",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "TIPTON",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "680-688-2800"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altus, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.