Organization
COMANCHE COUNTY HOSPITAL AUTHORITY
Active
Other names
Lawton Medi-Equip
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SMITH (CEO)
(580) 585-5522
Entity
Organization
Contact information
Practice address
924 NW 38TH ST, LAWTON, OK 73505-3703
(580) 355-7655
(580) 355-4033
Mailing address
PO BOX 129, LAWTON, OK 73502-0129
(580) 355-8620
(580) 250-6458
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
3-S-607
OK
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100749570N
—
OK
Enumeration date
06/29/2006
Last updated
10/28/2024
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