Organization
COMANCHE COUNTY HOSPITAL AUTHORITY
Active
Organization
COMANCHE COUNTY HOSPITAL AUTHORITY
Active
Other names
LCHC Great Plains Pediatrics
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 100, LAWTON, OK 73505-6350
(580) 353-8942
Mailing address
3401 W GORE BLVD, LAWTON, OK 73505-6300
(580) 585-5443
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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