NPIMap

Organization Active NPI

Comanche County Hospital Authority

  • Rehabilitation Clinic/Center
  • Lawton, OK
National Provider Identifier
1740377993
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
2237 Issued in OK
Legal business name
COMANCHE COUNTY HOSPITAL AUTHORITY
Practice address
602 SE Wallock St
Lawton, OK 73501-5444
Phone
(580) 355-1512
Fax
(580) 355-1513
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Randall K. Segler
Title
Ceo
Phone
(580) 585-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 2237 OK Primary

Addresses

Primary practice location

602 SE Wallock St
Lawton, OK 73501-5444

Mailing address

PO Box 129
Lawton, OK 73502-0129
Phone (580) 355-8620

Other identifiers 1

IdentifierTypeStateIssuer
000370056001OtherBLUE CROSS BLUE SHIELD

Other names 1

  • Lawton Physical Therapy & Sports Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comanche County Hospita40 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

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740377993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735020129",
            "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": "602 SE WALLOCK ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735015444",
            "telephone_number": "580-355-1512",
            "fax_number": "580-355-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMANCHE COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEGLER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-585-5511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "OK",
            "license": "2237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000370056001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawton Physical Therapy & Sports Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.