Lawton Community Health Center At Jim Taliaferro | |
602 Sw 38th St Lawton OK 73505-6912 | |
(580) 355-5242 | |
(580) 355-5245 |
Full Name | Lawton Community Health Center At Jim Taliaferro |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 602 Sw 38th St, Lawton, Oklahoma |
Authorized Official Name and Position | Sean Mcavoy (DIRECTOR) |
Authorized Official Contact | 5803555242 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lawton Community Health Center At Jim Taliaferro Po Box 2309 Lawton OK 73502-2309 Ph: (580) 355-5242 | Lawton Community Health Center At Jim Taliaferro 602 Sw 38th St Lawton OK 73505-6912 Ph: (580) 355-5242 |
NPI Number | 1639540883 |
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Provider Enumeration Date | 10/14/2015 |
Last Update Date | 10/19/2015 |
Identifier | Type | State | Issuer |
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1639540883 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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