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513 Hilary Suite C Comanche OK 73529 | |
(580) 439-2000 | |
(580) 439-5669 |
Full Name | |
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Speciality | Clinic/Center |
Location | 513 Hilary, Comanche, Oklahoma |
Authorized Official Name and Position | Brent Smith (CFO) |
Authorized Official Contact | 5803558620 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 2309 Lawton OK 73502-2309 Ph: (580) 439-2000 | 513 Hilary Suite C Comanche OK 73529 Ph: (580) 439-2000 |
NPI Number | 1427075498 |
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Provider Enumeration Date | 07/16/2006 |
Last Update Date | 11/19/2015 |
Medicare PECOS PAC ID | 2668373689 |
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Medicare Enrollment ID | O20151215001261 |
Identifier | Type | State | Issuer |
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1427075498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 13927 (Oklahoma) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Duncan Regional Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 N Highway 81, Comanche, OK 73529 Phone: 580-439-6889 Fax: 580-439-8012 | |