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Organization
COMANCHE COUNTY HOSPITAL AUTHORITY
Active
Organization
COMANCHE COUNTY HOSPITAL AUTHORITY
Active
Other names
Nursing Transitional Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL SEGLER (CEO)
(580) 585-5511
Entity
Organization
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6300
(580) 355-8699
(580) 585-5453
Mailing address
PO BOX 129, LAWTON, OK 73502-0129
(580) 355-8620
(580) 250-6458
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000370056001
BLUE CROSS BLUE SHIELD
—
05
—
100700750A
—
OK
Enumeration date
06/12/2006
Last updated
12/23/2013
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