| Lchc Primary Health Care Center At Comanche County Memorial Hospital | |
|
110 Nw 31st St Suite 201 Lawton OK 73505-6100 | |
| (580) 355-5242 | |
| (580) 355-5245 |
| Full Name | Lchc Primary Health Care Center At Comanche County Memorial Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 Nw 31st St, Lawton, Oklahoma |
| Authorized Official Name and Position | Brent Smith (CEO) |
| Authorized Official Contact | 5803558620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lchc Primary Health Care Center At Comanche County Memorial Hospital Po Box 2309 Lawton OK 73502-2309 Ph: (580) 357-9984 | Lchc Primary Health Care Center At Comanche County Memorial Hospital 110 Nw 31st St Suite 201 Lawton OK 73505-6100 Ph: (580) 355-5242 |
| NPI Number | 1346788296 |
|---|---|
| Provider Enumeration Date | 02/10/2017 |
| Last Update Date | 01/26/2018 |
| Medicare PECOS PAC ID | 2668373689 |
|---|---|
| Medicare Enrollment ID | O20180517000834 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346788296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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