Organization · Type 2 NPI

Comanche County Hospital Authority

Federally Qualified Health Center (FQHC) · Lawton, OK

NPI number 1245254705 Active

Practice location

3201 W Gore Blvd, Suite 301
Lawton, OK 73505-6378

Fax (580) 248-8919

Mailing address

3401 W Gore Blvd
Lawton, OK 73505-6332

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X11906 (OK)
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1245254705

Comanche County Hospital Authority's National Provider Identifier is 1245254705, issued on Jul 27, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lawton, OK. The record was last updated on Dec 14, 2020.