Organization
COMANCHE COUNTY HOSPITAL AUTHORITY
Active
Other names
Elgin Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SMITH (CEO)
(580) 355-8620
Entity
Organization
Contact information
Practice address
7936 US HWY 277, ELGIN, OK 73538-2144
(580) 492-6900
(580) 492-6902
Mailing address
PO BOX 2309, LAWTON, OK 73502-2309
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/30/2010
Last updated
06/02/2016
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