OrganizationActiveAccepts Medicare
Shortgrass Community Health Center, Inc
NPI 1083286975 · Clinic Pharmacy · Hollis, OK
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1083286975
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Janet Tipton, Office Manager(580) 688-2800
Specialties & taxonomies
Suppliers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
400 E Sycamore St
Hollis, OK 73550-1436
Phone: (580) 688-2800
Street-level locationGet directions
Mailing address
400 E Sycamore St
Hollis, OK 73550-1436
Registry dates
- Enumerated
- 2021-07-12
- Last updated
- 2021-07-12
- Certified
- 2021-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.