COMANCHE COUNTY HOSPITAL AUTHORITY NPI 1124694542

NPI Information

  • NPI: 1124694542
  • Provider Name: COMANCHE COUNTY HOSPITAL AUTHORITY
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: LCHC MEDICINE PARK
  • CLIA Number: 37D2233479
  • Address: 19055 STATE HIGHWAY 49
    MEDICINE PARK, OK
    ZIP 73507
  • Phone: (580) 585-5503

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NPI Details

COMANCHE COUNTY HOSPITAL AUTHORITY is a federally qualified health center (fqhc) clinic center in Medicine Park, OK. COMANCHE COUNTY HOSPITAL AUTHORITY NPI is 1124694542. The provider is registered as an organization entity type.
The provider Is Doing Business As Lchc Medicine Park.

The provider's business location address is:

19055 STATE HIGHWAY 49
MEDICINE PARK, OK
ZIP 73507
Phone: (580) 585-5503

The provider's authorized official is Brent Smith .
The authorized official title is Ceo and has the following contact phone number (580) 585-5522.

The CLIA number assigned to this NPI record is 37D2233479 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2021 and was last updated on 12/21/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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: 11/21/2025

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