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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