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Comanche County Healthcare Corporation

Organization Active NPI Family Medicine Physician · Lawton, OK

NPI 1629604376 · NPPES record last updated Jun 22, 2020

Key facts

NPI
1629604376
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
COMANCHE COUNTY HEALTHCARE CORPORATION
Practice address
3201 W Gore Blvd Ste G1
Lawton, OK 73505-6308
Phone
(580) 355-9675
NPI assigned
Mar 13, 2020
Organization subpart
No

Authorized official

Name
Brent Smith
Title
Ceo
Phone
(580) 585-5522

Corporate family (same tax ID) 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0989935Memorial Medical Group, Occupational Medicine
3201 W Gore Blvd, Suite G-1, Lawton, OK 73505		Certificate of waiverAug 8, 2027

National Provider Directory

Tax ID family
Troy L Harden DO (34 organizations share this tax ID)

Locations

3201 W Gore Blvd
Ste G1
Lawton, OK 73505
Phone (580) 355-9675

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

3201 W Gore Blvd Ste G1
Lawton, OK 73505-6308

Mailing address

3401 W Gore Blvd
Lawton, OK 73505-6332
Phone (580) 585-5443

Other names

  • MMG Occupational Medicine - CCMH Doing business as
  • Occupational Medicine Doing business as

Other providers in Lawton, OK

All providers in Lawton, OK · Family Medicine Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.