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COMANCHE COUNTY HEALTHCARE CORP NPI 1659647501


NPI Information

NPI: 1659647501
Provider Name: COMANCHE COUNTY HEALTHCARE CORP

Doing Business As: MEMORIAL MEDICAL GROUP FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3201 W GORE BLVD
STE 300
LAWTON, OK
ZIP 73505
Phone: (580) 585-5549
Get Directions

COMANCHE COUNTY HEALTHCARE CORP is a family medicine in Lawton, OK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COMANCHE COUNTY HEALTHCARE CORP NPI is 1659647501. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Memorial Medical Group Family Practice.

The provider's business location address is:

3201 W GORE BLVD
STE 300
LAWTON, OK
ZIP 73505-378
Phone: (580) 585-5549
Fax: (580) 354-5911

The provider's authorized official is David Blackmon .
The authorized official title is Cfo and has the following contact phone number (580) 355-8620.

The enumeration date for this NPI number is 3/26/2012 and was last updated on 3/26/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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