Organization
COMANCHE COUNTY HOSPITAL AUTHORITY
Active
Other names
Silver Linings Geriatric Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL SEGLER (CEO)
(580) 585-5511
Entity
Organization
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 250-6650
(580) 250-6655
Mailing address
PO BOX 129, LAWTON, OK 73502-0129
(580) 250-6650
(580) 250-6655
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00370056001
BLUE CROSS BLUE SHIELD
—
05
—
100700750A
—
OK
Enumeration date
06/02/2006
Last updated
08/22/2020
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