Comanche County Hospital Authority
Organization Active NPI Land Ambulance · Lawton, OK
NPI 1770525883 · NPPES record last updated Apr 24, 2020
Key facts
- NPI
- 1770525883
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 314 (OK)
- Legal business name
- COMANCHE COUNTY HOSPITAL AUTHORITY
- Practice address
- 1301 SW 30TH St
Lawton, OK 73505-7904 - Phone
- (580) 585-5555
- Fax
- (580) 355-6450
- NPI assigned
- Jun 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Brent L Smith
- Title
- Ceo
- Phone
- (580) 585-5511
Other NPIs on the same Medicare enrollment 16
Related certifications (CCN) 2
Affiliated clinicians 441
-
Akram R. Abraham, M.D.
-
Addi S Abuelshar, MD
-
Mukta Dilipkumar Agrawal, M.D.
-
Vaqar Ahmad, MD
-
Arif Ajmeri, MD
-
Mohammad Najim Alberawi, MBBS
-
Munawar Ali, MD
-
Jetta Ange, PA-C
-
Angelo Argento, M.D.
-
Steven Elliot Arnold, PA-C
-
Zain Ul Abideen Asad, M.D.
-
Anibal Mikjail Avila, M.D.
-
Srilatha R Ayirala, M.D.
-
Shannon Ballou, APRN, FNP-C
-
Anmol Baranwal, M.D.
-
Andrew David Barbosa, M.D.
-
Tonya Bardsher, FNP-C
Medicare Care Compare: Hospital
- Listed as
- Memorial Health
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Government - Hospital District or Authority
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in OK
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
- Government · Non-profit
- Enrollment address
- 3401 W Gore Blvd
Lawton, OK 73505-6300 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| George W Kruger |
Corporate Officer |
Aug 3, 2015 | |
| W-2 Managing Employee |
Aug 3, 2015 | ||
| Operational/Managerial Control |
Aug 3, 2015 | ||
| Dustin J Hilliary |
Corporate Director | Jul 16, 2024 | |
| Comanche County Hospital Authority |
Operational/Managerial Control | Jan 13, 1971 | |
| John P Zelbst |
Corporate Officer | Jul 1, 2023 | |
| Corporate Director | Jul 1, 1997 | ||
| Mark a Henry |
Corporate Officer | Jul 16, 2024 | |
| Corporate Director | Jul 1, 2021 | ||
| Brent L Smith |
Corporate Officer |
Apr 1, 2014 | |
| W-2 Managing Employee |
Apr 1, 2014 | ||
| Operational/Managerial Control |
Apr 1, 2014 | ||
| Natalie J Fitch |
Corporate Officer | Jul 1, 2021 | |
| Corporate Director | Jan 25, 2021 | ||
| Edward a Legako |
Corporate Director | May 17, 2016 |
All facility ownership & control disclosures 10
| Facility | Type | Role | Since |
|---|---|---|---|
| Memorial Health |
Hospital | Operational/Managerial Control | Jan 13, 1971 |
| Memorial Health |
Hospital | Operational/Managerial Control | Jan 13, 1971 |
| McMahon Tomlinson Nursing & Rehabilitation Center |
Skilled nursing facility | Operational/Managerial Control | Jan 13, 1971 |
| Comanche County Memorial Hospital Home Health Care |
Home health agency | Operational/Managerial Control | Jan 13, 1971 |
| Comanche County Memorial Hospice and Supportive Care |
Hospice | Operational/Managerial Control | Jan 13, 1971 |
| Lawton Community Health Center |
Federally qualified health center | Operational/Managerial Control | Mar 6, 2008 |
| Comanche County Hospital Authority |
Federally qualified health center | Operational/Managerial Control | Jan 13, 1971 |
| LCHC Medicine Park |
Federally qualified health center | Operational/Managerial Control | Jun 1, 2020 |
| LCHC Family Continuity Clinic |
Federally qualified health center | Operational/Managerial Control (100%) | Aug 29, 2023 |
| MMG Snyder Family Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1996 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101015000627 | OK | Part a Provider - Hospital | 2668373689 |
4 other NPIs on this enrollment This NPI is an additional NPI on the 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 This NPI is an additional NPI on the enrollment Practice locations: Lawton, OK |
| O20200505001127 | OK | Part B Supplier - Ambulance Service Supplier | 2668373689 |
1 other NPI on this enrollment Practice locations: Lawton, OK |
National Provider Directory
Locations
3811 W Gore Blvd
Ste 6
Lawton, OK 73505
Phone (580) 250-6525
129 E Colorado St
Walters, OK 73572
Phone (580) 585-5555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 314 | OK | Yes |
Addresses
Primary practice location
1301 SW 30TH St
Lawton, OK 73505-7904
Mailing address
3401 W Gore Blvd
Lawton, OK 73505-6300
Phone (580) 585-5443
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100749570J | Medicaid | OK |
Other names
- CCMH AMBULANCE SERVICES
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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2020. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.