Organization
COMANCHE COUNTY HOSPITAL AUTHORITY
Active
Other names
LCHC Cache
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SMITH (CEO)
(580) 585-5522
Entity
Organization
Contact information
Practice address
512 W C AVE, CACHE, OK 73527-9491
(580) 699-7355
(580) 699-7362
Mailing address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
09/02/2020
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