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COMANCHE COUNTY HOSPITAL AUTHORITY NPI 1740377993


NPI Information

NPI: 1740377993
Provider Name: COMANCHE COUNTY HOSPITAL AUTHORITY

Doing Business As: LAWTON PHYSICAL THERAPY & SPORTS REHABILITATION CENTER

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
602 SE WALLOCK ST
LAWTON, OK
ZIP 73501
Phone: (580) 355-1512
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COMANCHE COUNTY HOSPITAL AUTHORITY is a rehabilitation clinic center in Lawton, OK. COMANCHE COUNTY HOSPITAL AUTHORITY NPI is 1740377993. The provider is registered as an organization entity type.
The provider Is Doing Business As Lawton Physical Therapy & Sports Rehabilitation Center.

The provider's business location address is:

602 SE WALLOCK ST
LAWTON, OK
ZIP 73501-444
Phone: (580) 355-1512
Fax: (580) 355-1513

The provider's authorized official is Randall K. Segler .
The authorized official title is Ceo and has the following contact phone number (580) 585-5511.

The enumeration date for this NPI number is 10/9/2006 and was last updated on 8/22/2020.


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
1261QR0400XClinic/CenterRehabilitation2237OKLAHOMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000370056001OTHERBLUE CROSS BLUE SHIELD

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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