| Lawton Community Health Center | |
|
5404 Sw Lee Blvd Lawton OK 73505 | |
| (580) 355-5242 | |
| (580) 355-5245 |
| Full Name | Lawton Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 5404 Sw Lee Blvd, Lawton, Oklahoma |
| Authorized Official Name and Position | Sean Mcavoy (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5802804413 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawton Community Health Center Po Box 2309 Section 2 Lawton OK 73502-2309 Ph: (580) 355-5242 | Lawton Community Health Center 5404 Sw Lee Blvd Lawton OK 73505 Ph: (580) 355-5242 |
| NPI Number | 1588832869 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 09/18/2014 |
| Medicare PECOS PAC ID | 2668373689 |
|---|---|
| Medicare Enrollment ID | O20080328000333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588832869 | NPI | - | NPPES |
| 100700750Z | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Laura Coleman, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5366 Nw Cache Rd, Suite 6, Lawton, OK 73505 Phone: 580-536-7546 Fax: 580-581-2051 | |
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 | |
Legacy Wellness Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 927 Sw D Ave, Lawton, OK 73501 Phone: 405-936-0504 Fax: 405-936-0561 | |
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 | |
Bobby Abraham Md Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3201 W Gore Blvd, Suite 105, Lawton, OK 73505 Phone: 580-510-7077 Fax: 580-510-7057 | |
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 |