COMANCHE COUNTY HOSPITAL AUTHORITY (NPI# 1346795390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346795390 |
| Entity Type | Organization |
| Organization Name | COMANCHE COUNTY HOSPITAL AUTHORITY |
| Other Organization Name | COMANCHE COUNTY HOSPITAL CARDIOLOGY |
| Practice Address |
3401 W Gore Blvd Lawton OK 73505-6332 |
| Mailing Address |
Po Box 129 Lawton OK 73502-0129 |
| Practice Telephone | 5805855565 |
| Practice Fax Number | 5805855546 |
| Mailing Telephone | 5805855565 |
| Mailing Fax Number | 5805855546 |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |
| Authorized Official Name | BRENT SMITH (CEO) |
| Authorized Official Telephone | 5805855511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Comanche County Hospital Cardiology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285181610 | Comanche County Hospital Authority | Ambulance | 129 E Colorado St, Walters, OK 73572-1461 | 2016-09-01 |
| 1225320898 | Comanche County Hospital Authority | Durable Medical Equipment & Medical Supplies | 2710 W Gore Blvd, Lawton, OK 73505-6319 | 2011-05-13 |
| 1740584184 | Comanche County Hospital Authority | Ambulance | 7892 Highway 277, Elgin, OK 73538-0000 | 2010-12-28 |
| 1609897461 | Comanche County Hospital Authority | Family Medicine | 1102 South Cobb Lake Street, Apache, OK 73006 | 2006-07-21 |
| 1932127594 | Comanche County Hospital Authority | Family Medicine | 1318 S Broadway St, Suite A, Marlow, OK 73055-3864 | 2006-07-18 |
| 1790702579 | Comanche County Hospital Authority | Family Medicine | 823 D St, Snyder, OK 73566-2031 | 2006-07-16 |
| 1427075498 | Comanche County Hospital Authority | Family Medicine | 513 Hilary, Suite C, Comanche, OK 73529 | 2006-07-16 |
| 1215965991 | Comanche County Hospital Authority | Durable Medical Equipment & Medical Supplies | 924 Nw 38th St, Lawton, OK 73505-3703 | 2006-06-29 |
| 1720022379 | Comanche County Hospital Authority | General Acute Care Hospital | 3401 West Gore Blvd, Lawton, OK 73502-0129 | 2006-06-15 |
| 1770525883 | Comanche County Hospital Authority | Ambulance | 1301 Sw 30th St, Lawton, OK 73505-7904 | 2006-06-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | COMANCHE COUNTY HOSPITAL AUTHORITY | C/o The Public Finance Law Group Pllc, 5667 N Classen Blvd Ste 100, Oklahoma City, OK 73118 |
| Street Address |
3401 W GORE BLVD |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-6332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295735777 | Kathleen Marie Feeley | Nurse Anesthetist, Certified Registered | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2005-07-27 |
| 1437768280 | Jordan Nixon | Speech-Language Pathologist | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-07-28 |
| 1275151953 | Tiffany Fletcher Legako | Speech-Language Pathologist | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-07-09 |
| 1669094371 | Jacob Aaron Fuller | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-15 |
| 1679195614 | Kennan Dale Richards | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-13 |
| 1730701251 | Shelby Madolyn Willis | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-07 |
| 1902427404 | Christopher Raul Fernandez | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-06 |
| 1790305456 | Ethan Jernigan | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-04-23 |
| 1144840802 | Lyndi Fisher | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-04-23 |
| 1629607320 | Jordan Renee Price | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730133323 | Ronald G Woodson | Internal Medicine | 3106 Nw Arlington, Lawton, OK 73505 | 2006-05-19 |
| 1255871497 | Comanche County Healthcare Corporation | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2017-03-07 |
| 1003155821 | Comanche County Hospital Authority | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2013-02-14 |
| 1932477965 | Heart and Vascular Center Pllc | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2011-12-05 |
| 1710174867 | Srilatha R Ayirala | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2007-10-02 |
| 1861412223 | Bassam C. Saliba | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2006-07-20 |
| 1316963705 | Comanche County Healthcare | Internal Medicine | 3401 W Gore Blvd, Lawton, OK 73505 | 2006-07-15 |
| 1730115114 | Heart & Vascular Center Pllc | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2006-06-25 |
| 1679527030 | Robert F Sweeney | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505 | 2006-05-20 |
| 1518915750 | Vijaya S Velury | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2006-05-04 |
| Find all providers in LAWTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.