Organization
SOUTHWESTERN MEDICAL CENTER, LLC
Active
Other names
Southwestern Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (AO)
(502) 596-6063
Entity
Organization
Contact information
Practice address
5602 SW LEE BLVD, LAWTON, OK 73505-9635
(580) 531-4700
(580) 531-4702
Mailing address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(502) 596-6063
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2231
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100697950
—
OK
Enumeration date
05/04/2006
Last updated
06/26/2025
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