NPIMap

Organization Active NPI

Southwestern Medical Center, LLC

Doing business as Southwestern Medical Center

  • General Acute Care Hospital
  • Lawton, OK
National Provider Identifier
1952359986
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2231 Issued in OK
Legal business name
SOUTHWESTERN MEDICAL CENTER, LLC
Doing business as
Southwestern Medical Center
Practice address
5602 SW Lee Blvd
Lawton, OK 73505-9635
Phone
(580) 531-4700
Fax
(580) 531-4702
NPI assigned
May 4, 2006
Last updated
Jun 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 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

IdentifierTypeStateIssuer
100697950MedicaidOK

Other names 1

  • Southwestern Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address southwesternmedcen@southmc.medalliesdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

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

5604 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

Practitioners & affiliated clinicians

Practitioners 76

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 76

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1952359986",
    "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",
            "fax_number": "580-531-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OK",
            "license": "2231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100697950",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "southwesternmedcen@southmc.medalliesdirect.net",
            "affiliation": "N",
            "address_1": "5602 SW Lee Blvd",
            "city": "Lawton",
            "state": "OK",
            "country_code": "US",
            "postal_code": "735059635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Southwestern Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwestern Medical 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 Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.