Organization
COMANCHE COUNTY HOSPITAL AUTHORITY
Active
Other names
LCHC Apache Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SMITH (CEO)
(580) 355-8620
Entity
Organization
Contact information
Practice address
1102 SOUTH COBB LAKE STREET, APACHE, OK 73006
(580) 588-3257
(580) 588-3265
Mailing address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 585-5443
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
16693
OK
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/21/2006
Last updated
01/10/2024
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