Organization
SOUTHWESTERN MEDICAL CENTER
Active
Parent organization
SOUTHWESTERN MEDICAL CENTER, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWESTERN MEDICAL CENTER, LLC
Authorized official
JOHNETTA TRAYLOR (AO)
(502) 596-6063
Entity
Organization
Contact information
Practice address
5602 SW LEE BLVD, LAWTON, OK 73505-9635
(580) 531-4700
Mailing address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(502) 596-6063
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
2231
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100697950F
—
OK
Enumeration date
10/31/2006
Last updated
06/26/2025
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