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COMANCHE COUNTY HOSPITAL AUTHORITY NPI 1790270502


NPI Information

NPI: 1790270502
Provider Name: COMANCHE COUNTY HOSPITAL AUTHORITY

Doing Business As: LCHC FAMILY CARE CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 37D2129681

Address:
3201 W GORE BLVD STE 203
LAWTON, OK
ZIP 73505
Phone: (580) 250-6540
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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 1790270502. The provider is registered as an organization entity type.
The provider Is Doing Business As Lchc Family Care Clinic.

The provider's business location address is:

3201 W GORE BLVD STE 203
LAWTON, OK
ZIP 73505-350
Phone: (580) 250-6540
Fax: (580) 354-5937

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 37D2129681 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2018 and was last updated on 6/25/2018.


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
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: 11/14/2023

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