Organization
COMANCHE COUNTY HOSPITAL AUTHORITY SOUTHWEST RADIOLOGY
Active
Organization
COMANCHE COUNTY HOSPITAL AUTHORITY SOUTHWEST RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BLACKMON (CFO)
(580) 355-8699
Entity
Organization
Contact information
Practice address
11447 DUTCH IRIS DR, RIVERVIEW, FL 33578-3728
(580) 585-2717
Mailing address
PO BOX 2309, LAWTON, OK 73502-2309
(800) 945-2455
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
115285
FL
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
04/14/2009
Last updated
06/07/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up