NPIMap

Organization Active NPI

Comanche County Hospital Authority

Doing business as Comanche County Memorial Hospital

  • General Acute Care Hospital
  • Lawton, OK
National Provider Identifier
1720022379
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2237 Issued in OK
Legal business name
COMANCHE COUNTY HOSPITAL AUTHORITY
Doing business as
Comanche County Memorial Hospital
Memorial Health
Practice address
3401 W Gore Blvd
Lawton, OK 73505-6332
Phone
(580) 355-8620
Fax
(580) 250-6458
NPI assigned
Jun 15, 2006
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Becky Holland
Title
Chief Financial Officer
Phone
(580) 355-8620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2237 OK Primary

Addresses

Primary practice location

3401 W Gore Blvd
Lawton, OK 73505-6332

Mailing address

3401 W Gore Blvd
Lawton, OK 73505-6332
Phone (580) 355-8620

Other practice location 1

1602 SW 82ND St
Lawton, OK 73505-9012
Phone (580) 536-0077

Other practice location 2

5602 SW Lee Blvd
Lawton, OK 73505-9635
Phone (580) 531-4700

Other identifiers 3

IdentifierTypeStateIssuer
100700750AMedicaidOK
C37005601OtherOKMEDICARE PROFESSIONAL
000370056001OtherOKBLUE CROSS BLUE SHIELD

Other names 2

  • Comanche County Memorial Hospital Doing business as
  • Memorial Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20050804000956 OK Part B Supplier - Clinic/Group Practice 8527097013 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lawton, OK
O20101015000627 OK Part A Provider - Hospital 2668373689 4 other NPIs on this enrollment
Practice locations: Lawton, OK; Altus, OK; Duncan, OK
O20140602001702 OK Part B Supplier - Clinic/Group Practice 2668373689 Receives reassigned benefits from 79 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lawton, OK
O20160428000839 OK Part B Supplier - Clinic/Group Practice 2668373689 Receives reassigned benefits from 10 practitioners
17 other NPIs on this enrollment
Practice locations: Lawton, OK

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1720022379. Details of each certification follow.

Hospital certification: CCN 370056

Legal name
COMANCHE COUNTY HOSPITAL AUTHORITY
Doing business as
MEMORIAL HEALTH
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 17, 2025
Beds
265
Ownership / control type
Hospital district or authority
Most recent change of ownership
Dec 1, 2025 (1 total)
Organization structure
GovernmentNon-profit
Enrollment address
3401 W Gore Blvd
Lawton, OK 73505-6300
Main/Primary Hospital Location
Hospital subgroups
Acute care

Hospital certification: CCN 374011

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
COMANCHE COUNTY MEMORIAL HOSPITAL
Certification status
Terminated Voluntary: other reason for withdrawal, Oct 16, 1997
Provider type (POS)
Hospital – Psychiatric
Participating since
May 20, 1986
Last certification
Aug 19, 1993
Beds
107
Ownership / control type
Private (for profit)
Facility address
1602 SW 82ND St
Lawton, OK 73505

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 18

Care Compare: Hospital

Medicare Care Compare
Listed as
Memorial HealthCCN 370056 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Comanche Co Mem Dba Sou40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

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

View all 39

Locations

4411 W Gore Blvd
Ste B10
Lawton, OK 73505
Phone (580) 353-0909

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
George W Kruger Individual Corporate OfficerCfo Aug 3, 2015
W-2 Managing EmployeeCfo Aug 3, 2015
Operational/Managerial ControlCfo Aug 3, 2015
Dustin J Hilliary Individual Corporate Director Jul 16, 2024
Comanche County Hospital Authority Organization, Lawton, OK Non-profit Operational/Managerial Control Jan 13, 1971
John P Zelbst Individual Corporate Officer Jul 1, 2023
Corporate Director Jul 1, 1997
Mark a Henry Individual Corporate Officer Jul 16, 2024
Corporate Director Jul 1, 2021
Brent L Smith Individual Corporate OfficerCeo Apr 1, 2014
W-2 Managing EmployeeCeo Apr 1, 2014
Operational/Managerial ControlCeo Apr 1, 2014
Natalie J Fitch Individual Corporate Officer Jul 1, 2021
Corporate Director Jan 25, 2021
Edward a Legako Individual Corporate Director May 17, 2016

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Memorial HealthLawton, OK, CCN 37T056 Hospital Operational/Managerial Control Jan 13, 1971
McMahon Tomlinson Nursing & Rehabilitation CenterLawton, OK, CCN 375562 Skilled nursing facility Operational/Managerial Control Jan 13, 1971
Comanche County Memorial Hospital Home Health CareLawton, OK, CCN 377070 Home health agency Operational/Managerial Control Jan 13, 1971
Comanche County Memorial Hospice and Supportive CareLawton, OK, CCN 371713 Hospice Operational/Managerial Control Jan 13, 1971
Lawton Community Health CenterLawton, OK, CCN 371846 Federally qualified health center Operational/Managerial Control Mar 6, 2008
Comanche County Hospital AuthorityLawton, OK, CCN 371962 Federally qualified health center Operational/Managerial Control Jan 13, 1971
LCHC Medicine ParkMedicine Park, OK, CCN 371975 Federally qualified health center Operational/Managerial Control Jun 1, 2020
LCHC Family Continuity ClinicLawton, OK, CCN 371017 Federally qualified health center Operational/Managerial Control (100%) Aug 29, 2023
MMG Snyder Family Medical ClinicSnyder, OK, CCN 373443 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1996

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 243

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.

View all 243

Affiliated clinicians 441

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 441

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1720022379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056332",
            "telephone_number": "580-355-8620",
            "fax_number": "580-250-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056332",
            "telephone_number": "580-355-8620",
            "fax_number": "580-250-6458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1602 SW 82ND ST",
            "address_purpose": "LOCATION",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059012",
            "country_code": "US",
            "telephone_number": "580-536-0077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5602 SW LEE BLVD",
            "address_purpose": "LOCATION",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059635",
            "country_code": "US",
            "telephone_number": "580-531-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMANCHE COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "580-355-8620"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OK",
            "license": "2237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700750A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROFESSIONAL",
            "identifier": "C37005601",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000370056001",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Comanche County Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comanche County Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.