<unavail> in Lawton, OK - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Lawton, Oklahoma. The current practice location for is 1102 Se 36th St, Lawton, Oklahoma. For appointments, you can reach them via phone at (580) 585-5550. The mailing address for is Po Box 2309, Section 2, Lawton, Oklahoma and phone number is (580) 357-9984.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1851839096. 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) 585-5550.

Contact Information


	1102 Se 36th St Lawton OK 73501-8462
	(580) 585-5550
	(580) 585-5551

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1102 Se 36th St, Lawton, Oklahoma
Authorized Official Name and Position	Brent Smith (CHIEF EXECTIVE OFFICER)
Authorized Official Contact	5803558620
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 2309 Section 2 Lawton OK 73502-2309 Ph: (580) 357-9984	1102 Se 36th St Lawton OK 73501-8462 Ph: (580) 585-5550

NPI Details:

NPI Number	1851839096
Provider Enumeration Date	02/08/2017
Last Update Date	03/14/2017

Medicare PECOS Information:

Medicare PECOS PAC ID	2668373689
Medicare Enrollment ID	O20170509001407

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851839096	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Lawton, OK

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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

- Medicare Primary Care in Lawton, OK