Lchc Center For Health | |
3811 W Gore Blvd Suite 6 Lawton OK 73505-6310 | |
(580) 250-6525 | |
Not Available |
Full Name | Lchc Center For Health |
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Speciality | Clinic/Center |
Location | 3811 W Gore Blvd, Lawton, Oklahoma |
Authorized Official Name and Position | Brent Smith (CFO) |
Authorized Official Contact | 5805107070 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lchc Center For Health Po Box 2309 Section 2 Lawton OK 73502-0785 Ph: (580) 357-9984 | Lchc Center For Health 3811 W Gore Blvd Suite 6 Lawton OK 73505-6310 Ph: (580) 250-6525 |
NPI Number | 1992183099 |
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Provider Enumeration Date | 05/11/2015 |
Last Update Date | 01/10/2024 |
Medicare PECOS PAC ID | 2668373689 |
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Medicare Enrollment ID | O20171003004099 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992183099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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