Organization
COMANCHE COUNTY HOSPITAL AUTHORITY
Active
Other names
LCHC Family Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SMITH (CEO)
(580) 585-5522
Entity
Organization
Contact information
Practice address
3201 W GORE BLVD STE 203, LAWTON, OK 73505-6350
(580) 250-6540
(580) 354-5937
Mailing address
PO BOX 2309, SEC 2, LAWTON, OK 73502
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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