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1030 Ash Ave Comanche OK 73529-2636 | |
(580) 355-5242 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1030 Ash Ave, Comanche, Oklahoma |
Authorized Official Name and Position | Brent Smith (CEO) |
Authorized Official Contact | 5803558620 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 2309 Lawton OK 73502-2309 Ph: (580) 357-9984 | 1030 Ash Ave Comanche OK 73529-2636 Ph: (580) 355-5242 |
NPI Number | 1942721683 |
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Provider Enumeration Date | 07/03/2017 |
Last Update Date | 07/03/2017 |
Identifier | Type | State | Issuer |
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1942721683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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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 | |