Lchc Medicine Park is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Medicine Park, Oklahoma. The current practice location for Lchc Medicine Park is 19055 State Highway 49, Medicine Park, Oklahoma. For appointments, you can reach them via phone at
(580) 585-5503. The mailing address for Lchc Medicine Park is 3401 W Gore Blvd, Lawton, Oklahoma and phone number is (580) 585-5443.
Lchc Medicine Park is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1124694542. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(580) 585-5503.
Primary Care Clinic Profile
| Full Name | Lchc Medicine Park |
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| Speciality | Clinic/Center |
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| Location | 19055 State Highway 49, Medicine Park, Oklahoma |
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| Authorized Official Name and Position | Brent Smith (CEO) |
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| Authorized Official Contact | 5805855522 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Lchc Medicine Park
3401 W Gore Blvd
Lawton
OK 73505-6300
Ph: (580) 585-5443 | Lchc Medicine Park
19055 State Highway 49
Medicine Park
OK 73507
Ph: (580) 585-5503 |
NPI Details:
| NPI Number | 1124694542 |
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| Provider Enumeration Date | 05/27/2021 |
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| Last Update Date | 12/21/2021 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 2668373689 |
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| Medicare Enrollment ID | O20211229001209 |
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Medical Identifiers
Medical identifiers for Lchc Medicine Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124694542 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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