COMANCHE COUNTY HOSPITAL AUTHORITY (NPI# 1609897461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609897461 |
| Entity Type | Organization |
| Organization Name | COMANCHE COUNTY HOSPITAL AUTHORITY |
| Other Organization Name | LCHC APACHE CLINIC |
| Practice Address |
1102 South Cobb Lake Street Apache OK 73006 |
| Mailing Address |
3401 W Gore Blvd Lawton OK 73505-6332 |
| Practice Telephone | 5805883257 |
| Practice Fax Number | 5805883265 |
| Mailing Telephone | 5805855443 |
| Mailing Fax Number | 5803573277 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | BRENT SMITH (CFO) |
| Authorized Official Telephone | 5803558620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 16693 | OK | Allopathic & Osteopathic Physicians |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| LCHC Apache Clinic | Doing Business As Name - Organization |
| MEMORIAL MEDICAL GROUP APACHE FAMILY MEDICAL CLINIC | 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 |
| 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 |
| 1588602171 | Comanche County Hospital Authority | Home Health | 2502 W Gore Blvd, Lawton, OK 73505-6315 | 2006-06-03 |
| 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 |
1102 SOUTH COBB LAKE STREET |
| City | APACHE |
| State | OK |
| Zip Code | 73006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336517275 | Sheryl Lynn Denton | Nurse Practitioner | 1102 S Coblake St, Apache, OK 73006 | 2015-09-09 |
| 1356783393 | Boone-apache Public Schools | Local Education Agency (LEA) | 522 E. Floyd St, Apache, OK 73006 | 2013-07-18 |
| 1760477616 | Helena M Hill | Physician Assistant | 624 S Cobb Lake, Apache, OK 73006 | 2005-09-16 |
| 1750424750 | Apache Ambulance Service Inc. | Ambulance | 725 S Coblake St, Apache, OK 73006-8334 | 2007-02-15 |
| 1316098882 | David Andrew Elliott | Chiropractor | 410 N Forrest, Apache, OK 73006-9392 | 2007-01-13 |
| 1891159927 | Deidra Henderson | Registered Nurse | 48025 County Street 2580, Apache, OK 73006-9708 | 2016-04-05 |
| 1043393093 | Phillip W & Phyllis J Melton | Pharmacy | 118 E Evans, Apache, OK 73006-9802 | 2006-10-23 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404965 | Variety Care, Inc. | Clinic/Center | 201 Ne 50th St Ste 117, Oklahoma City, OK 73105-1811 | 2020-10-13 |
| 1699318550 | Community Health Center of Northeast Oklahoma, Inc. | Clinic/Center | 220 S Mickey Mantle Blvd, Commerce, OK 74339-2924 | 2019-10-23 |
| 1013567940 | Community Health Center of Southeast Kansas, Inc. | Clinic/Center | 7 S 1st St, Wyandotte, OK 74370-2268 | 2019-09-12 |
| 1013569961 | Community Health Connection, Inc. | Clinic/Center | 13702 E 46th Pl, Tulsa, OK 74134-5919 | 2019-07-11 |
| 1184286726 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 302 W Smith Street, Stratford, OK 74872-4648 | 2019-07-03 |
| 1982263752 | Shortgrass Community Health Center, Inc | Clinic/Center | 211 East Broadway, Altus, OK 73521 | 2019-06-06 |
| 1265902589 | Community Health Center of Northeast Oklahoma | Clinic/Center | 244 S Scraper Suite D, Vinita, OK 74301-3716 | 2018-11-29 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1306352547 | Variety Care, Inc. | Clinic/Center | 721 W Britton Rd, Oklahoma City, OK 73114-2909 | 2017-12-26 |
| 1568976991 | Arkansas Verdigris Valley Health Centers,inc. | Clinic/Center | 201 North 32nd Street, Muskogee, OK 74401-2104 | 2017-11-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COMANCHE COUNTY HOSPITAL AUTHORITY.
| 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.