Organization
COMANCHE COUNTY HOSPITAL AUTHORITY
Active
Other names
LCHC Medicine Park
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SMITH (CEO)
(580) 585-5522
Entity
Organization
Contact information
Practice address
19055 STATE HIGHWAY 49, MEDICINE PARK, OK 73507
(580) 585-5503
Mailing address
3401 W GORE BLVD, LAWTON, OK 73505-6300
(580) 585-5443
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
12/21/2021
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