Organization · Type 2 NPI
Comanche County Hospital Authority
Federally Qualified Health Center (FQHC) · Medicine Park, OK
NPI number
1124694542
Active
Practice location
19055 State Highway 49
Medicine Park, OK 73507
Mailing address
3401 W Gore Blvd
Lawton, OK 73505-6300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1124694542
Comanche County Hospital Authority's National Provider Identifier is 1124694542, issued on May 27, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Medicine Park, OK. The record was last updated on Dec 21, 2021.