Organization
COMANCHE COUNTY HOSPITAL AUTHORITY
Active
Other names
LCHC Eastside
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SMITH (CHIEF EXECTIVE OFFICER)
(580) 355-8620
Entity
Organization
Contact information
Practice address
1102 SE 36TH ST, LAWTON, OK 73501-8462
(580) 585-5550
(580) 585-5551
Mailing address
PO BOX 2309, SECTION 2, LAWTON, OK 73502-2309
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/08/2017
Last updated
03/14/2017
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