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602 Sw 38th St Lawton OK 73505-6912 | |
(580) 355-5242 | |
(580) 355-5245 |
Full Name | |
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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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Po Box 2309 Lawton OK 73502-2309 Ph: (580) 355-5242 | 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 |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mark W Cotton Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5610 Sw Lee Blvd, Lawton, OK 73505 Phone: 580-536-6600 Fax: 580-536-2427 | |
R. Brent Smith, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4411 W Gore Blvd, Ste. B-5, Lawton, OK 73505 Phone: 580-357-0493 | |
Sooner Inpatient Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 954-838-2371 |