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COMANCHE COUNTY HOSPITAL AUTHORITY NPI 1992183099


NPI Information

NPI: 1992183099
Provider Name: COMANCHE COUNTY HOSPITAL AUTHORITY

Doing Business As: MMG CENTER FOR HEALTH

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
3811 W GORE BLVD
SUITE 6
LAWTON, OK
ZIP 73505
Phone: (580) 250-6525
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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 1992183099. The provider is registered as an organization entity type.
The provider Is Doing Business As Mmg Center For Health.

The provider's business location address is:

3811 W GORE BLVD
SUITE 6
LAWTON, OK
ZIP 73505-310
Phone: (580) 250-6525

The provider's authorized official is Brent Smith .
The authorized official title is Cfo and has the following contact phone number (580) 510-7070.

The enumeration date for this NPI number is 5/11/2015 and was last updated on 9/18/2017.


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: 11/14/2023

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