Active NPI
Southwestern Medical Center
- Psychiatric Residential Treatment Facility
- Lawton, OK
National Provider Identifier
1245316447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- License
- 2231
- Legal business name
- SOUTHWESTERN MEDICAL CENTER
- Practice address
- 5602 SW Lee Blvd
Lawton, OK 73505-9635 - Phone
- (580) 531-4700
- NPI assigned
- Oct 31, 2006
- Last updated
- Jun 26, 2025
- Organization subpart
- Yes
- Parent organization
- SOUTHWESTERN MEDICAL CENTER, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Johnetta Traylor
- Title
- Ao
- Phone
- (502) 596-6063
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | 2231 | OK | Primary |
Addresses
Primary practice location
5602 SW Lee Blvd
Lawton, OK 73505-9635
Mailing address
680 S 4TH St
Louisville, KY 40202-2407
Phone (502) 596-6063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100697950F | Medicaid | OK |
National Provider Directory
National Provider Directory- Part of
- Southwestern Med Ctr
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Child & Adolescent Psychiatry Physician
- Oklahoma City, OK
- NPI 1033103304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750896000000",
"number": "1245316447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 S 4TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022407",
"telephone_number": "502-596-6063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5602 SW LEE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735059635",
"telephone_number": "580-531-4700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWESTERN MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUTHWESTERN MEDICAL CENTER, LLC",
"enumeration_date": "2006-10-31",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A",
"authorized_official_last_name": "TRAYLOR",
"authorized_official_first_name": "JOHNETTA",
"authorized_official_title_or_position": "AO",
"authorized_official_telephone_number": "502-596-6063"
},
"taxonomies": [
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": "OK",
"license": "2231",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100697950F",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
- Southwestern Emergency Department Physician Services, LLC
- Southwestern Home Health, Inc.
- Southwestern Home Health, Inc.
- Southwestern Home Health, Inc.
- Southwestern Medical Associates, P.C.
- Southwestern Medical Center, LLC (Southwestern Medical Center)
- Southwestern Medical Center, LLC (Southwestern Medical Center)
- Southwestern Medical Center, LLC (Southwestern Medical Center)
- Southwestern Medical Center, LLC (Southwestern Medical Center)
- Southwestern Neurosurgery Physicians LLC (Southwestern Neurosciences)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.