# SOUTHWESTERN MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHWESTERN MEDICAL CENTER, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1245316447
- **Legal business name:** SOUTHWESTERN MEDICAL CENTER, LLC
- **Authorized official:** JOHNETTA TRAYLOR (AO)
- **Authorized official phone:** (502) 596-6063

## Contact information

- **Practice address:** 5602 SW LEE BLVD, LAWTON, OK 73505-9635
- **Practice address phone:** (580) 531-4700
- **Mailing address:** 680 S 4TH ST, LOUISVILLE, KY 40202-2407
- **Mailing address phone:** (502) 596-6063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 2231 | OK | Yes |

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 06/26/2025