340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SCH370022-00 JACKSON COUNTY MEMORIAL HOSPITAL (Active)
Print
Main Details
Name
JACKSON COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH370022-00
Medicare Provider Number
370022
Additional Details
Current Program Status
Active
Registration Date
9/20/2010
Participating Start Date
9/27/2010
Participating Approval Date
9/21/2010
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Jackson County Memorial Hospital
Shelley Simmons, VP of Patient Care
(580) 379-5533
Primary Contact
Jackson County Memorial Hospital
RETA BENNETT, DIRECTOR OF PHARMACY
(580) 379-5708
Addresses
Street Address
1200 EAST PECAN
ALTUS, OK 73521
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
11/4/2010- UPDATED ZIP (WAS 73522)
11/04/2010
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session