Organization
COMANCHE COUNTY HOSPITAL AUTHORITY
Active
Other names
CCMH AMBULANCE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT L SMITH (CEO)
(580) 585-5511
Entity
Organization
Contact information
Practice address
1301 SW 30TH ST, LAWTON, OK 73505-7904
(580) 585-5555
(580) 355-6450
Mailing address
3401 W GORE BLVD, LAWTON, OK 73505-6300
(580) 585-5443
(580) 585-5553
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
314
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100749570J
—
OK
Enumeration date
06/12/2006
Last updated
04/24/2020
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