Organization
COMANCHE COUNTY HOSPITAL AUTHORITY
Active
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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