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COMANCHE COUNTY HOSPITAL AUTHORITY NPI 1851839096


NPI Information

NPI: 1851839096
Provider Name: COMANCHE COUNTY HOSPITAL AUTHORITY

Doing Business As: LCHC EASTSIDE

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 37D2282826

Address:
1102 SE 36TH ST
LAWTON, OK
ZIP 73501
Phone: (580) 585-5550
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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 1851839096. The provider is registered as an organization entity type.
The provider Is Doing Business As Lchc Eastside.

The provider's business location address is:

1102 SE 36TH ST
LAWTON, OK
ZIP 73501-462
Phone: (580) 585-5550
Fax: (580) 585-5551

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

The CLIA number assigned to this NPI record is 37D2282826 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2017 and was last updated on 3/14/2017.


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: 4/28/2024

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