COMANCHE COUNTY HEALTHCARE CORP NPI 1285886713

NPI Information

NPI: 1285886713
Provider Name: COMANCHE COUNTY HEALTHCARE CORP

Doing Business As: MNT DIABETES SERVICES

Classification: Dietitian, Registered - 133VN1006X
Entity Type: Organization

Specialization: Nutrition, Metabolic

Address:
3201 W GORE BLVD
SUITE 103
LAWTON, OK
ZIP 73505
Phone: (580) 250-6407
Get Directions

COMANCHE COUNTY HEALTHCARE CORP is a nutrition and metabolic dietitian registered in Lawton, OK. COMANCHE COUNTY HEALTHCARE CORP NPI is 1285886713. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mnt Diabetes Services.

The provider's business location address is:

3201 W GORE BLVD
SUITE 103
LAWTON, OK
ZIP 73505-378
Phone: (580) 250-6407
Fax: (580) 355-5893

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

The enumeration date for this NPI number is 10/15/2008 and was last updated on 5/8/2015.

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
1	133VN1006X	Dietitian, Registered	Nutrition, Metabolic			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100810030L	MEDICAID	OKLAHOMA

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: 4/28/2024

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