Comanche County Hospital Authority
Organization Active NPI Pediatrics Physician · Lawton, OK
NPI 1174545834 · NPPES record last updated Oct 31, 2025
Key facts
- NPI
- 1174545834
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 16952 (OK)
- Legal business name
- COMANCHE COUNTY HOSPITAL AUTHORITY
- Practice address
- 2701 SW Cornell Ave
Lawton, OK 73505-7121 - Phone
- (580) 248-0696
- Fax
- (580) 357-7589
- NPI assigned
- Jul 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Brent Smith
- Title
- Cfo
- Phone
- (580) 355-8620
Other NPIs on the same Medicare enrollment 39
Corporate family (same tax ID) 39
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031106000742 | OK | Part B Supplier - Clinic/Group Practice | 0749192433 |
Receives reassigned benefits from 166 practitioners 40 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lawton, OK; Oklahoma City, OK; Pawhuska, OK; Snyder, OK; Tahlequah, OK; The Village, OK; Edmond, OK; Frederick, OK |
National Provider Directory
- Tax ID family
- Comanche County Hospita
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | 16952 | OK | Yes |
Addresses
Primary practice location
2701 SW Cornell Ave
Lawton, OK 73505-7121
Mailing address
3401 W Gore Blvd
Lawton, OK 73505-6300
Phone (580) 355-8620
Other names
- LAWTON PEDIATRICS
Other providers in Lawton, OK
- Comanche County Hospital Authority
- Comanche County Hospital Authority
- Comanche County Hospital Authority
- Comanche County Hospital Authority
- Comanche County Hospital Authority
- Comanche County Hospital Authority
- Comanche County Hospital Authority
- Comanche County Hospital Authority
- Comanche County Hospital Authority
- Comanche County Hospital Authority
All providers in Lawton, OK · Pediatrics Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.