| Comanche County Hospital Authority | |
|
3811 W Gore Blvd Ste 10 Lawton OK 73505-6328 | |
| (580) 585-5443 | |
| Not Available |
| Full Name | Comanche County Hospital Authority |
|---|---|
| Speciality | Clinic/Center |
| Location | 3811 W Gore Blvd Ste 10, Lawton, Oklahoma |
| Authorized Official Name and Position | Brent Smith (CEO) |
| Authorized Official Contact | 5805855522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comanche County Hospital Authority 3401 W Gore Blvd Lawton OK 73505-6332 Ph: (580) 585-5443 | Comanche County Hospital Authority 3811 W Gore Blvd Ste 10 Lawton OK 73505-6328 Ph: (580) 585-5443 |
| NPI Number | 1942836242 |
|---|---|
| Provider Enumeration Date | 03/18/2020 |
| Last Update Date | 03/18/2020 |
| Medicare PECOS PAC ID | 2668373689 |
|---|---|
| Medicare Enrollment ID | O20200421000673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942836242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Memorial Medical Group Minor Emergency Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4411 W Gore Blvd, Suite A2, Lawton, OK 73505 Phone: 580-355-0575 Fax: 580-248-1725 | |
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