COMANCHE COUNTY HOSPITAL AUTHORITY NPI 1588832869

NPI Information

NPI: 1588832869
Provider Name: COMANCHE COUNTY HOSPITAL AUTHORITY

Doing Business As: LAWTON COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
5404 SW LEE BLVD
LAWTON, OK
ZIP 73505
Phone: (580) 355-5242
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COMANCHE COUNTY HOSPITAL AUTHORITY is a federally qualified health center (fqhc) clinic center in Lawton, OK. COMANCHE COUNTY HOSPITAL AUTHORITY NPI is 1588832869. The provider is registered as an organization entity type.
The provider Is Doing Business As Lawton Community Health Center.

The provider's business location address is:

5404 SW LEE BLVD
LAWTON, OK
ZIP 73505
Phone: (580) 355-5242
Fax: (580) 355-5245

The provider's authorized official is Sean Mcavoy .
The authorized official title is Executive Director and has the following contact phone number (580) 280-4413.

The enumeration date for this NPI number is 2/20/2008 and was last updated on 9/18/2014.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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	100700750Z	MEDICAID	OKLAHOMA
2	37-1846	MEDICARE PIN

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

NPI Synchronization or Removal

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