COMANCHE COUNTY HOSPITAL AUTHORITY (NPI# 1720022379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720022379 |
Entity Type | Organization |
Organization Name | COMANCHE COUNTY HOSPITAL AUTHORITY |
Other Organization Name | COMANCHE COUNTY MEMORIAL HOSPITAL |
Practice Address |
3401 West Gore Blvd Lawton OK 73502-0129 |
Mailing Address |
Po Box 129 Lawton OK 73502-0129 |
Practice Telephone | 5803558620 |
Practice Fax Number | 5802506458 |
Mailing Telephone | 5803558620 |
Mailing Fax Number | 5802506458 |
Enumeration Date | 2006-06-15 |
Last Update Date | 2008-10-22 |
Authorized Official Name | MR. RANDALL K. SEGLER (CEO) |
Authorized Official Telephone | 5805855511 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282N00000X | General Acute Care Hospital | 2237 | OK | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | BLUE CROSS BLUE SHIELD | 000370056001 | 01 |
OK | 100700750A | 05 | |
OK | MEDICARE PROFESSIONAL | C37005601 | 01 |
Other Name | Type Code |
---|---|
Comanche County Memorial Hospital | 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 |
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 |
Street Address |
3401 WEST GORE BLVD |
City | LAWTON |
State | OK |
Zip Code | 73502-0129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477546042 | Richard Eric Johnson | Anesthesiology | 3401 W Gore Blvd, Department of Anesthesiology, Lawton, OK 73502-0129 | 2005-08-29 |
1043282957 | Sloane Roxanne Blair | Orthopaedic Surgery | 110 Nw 31st Street, 2nd Floor, Lawton, OK 73502-0785 | 2006-02-03 |
1568835023 | Shelley Anne Malone | Speech-Language Pathologist | 753nw Ft Sill Blvd, Lawton, OK 73502-1009 | 2015-11-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700486750 | Charles Mcpherrin Russell | Pharmacist | 6301 Nw Quannah Parker Trl, Lawton, OK 73505-1326 | 2020-10-29 |
1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
1992303721 | Misty Watkins | Clinic/Center | 1601 Sw Parkridge Blvd Ste 200, Lawton, OK 73505-7564 | 2020-10-14 |
1043818065 | Shannon Bates | Case Manager/Care Coordinator | 3202 Se Footman Ln, Lawton, OK 73501-6340 | 2020-10-12 |
1619587946 | Chelsey S Kopaddy | Counselor | 1108 Nw Elm Ave, Lawton, OK 73507-4607 | 2020-08-02 |
1285243287 | Destiny Spirit Barreal | Respiratory Therapist, Registered | 1903 Nw Lake Ave, Lawton, OK 73507-6324 | 2020-07-24 |
1033727581 | Jennifer Baker, Lmft, LLC | Marriage & Family Therapist | 6425 Nw Cache Rd Ste 215, Lawton, OK 73505-3393 | 2020-07-21 |
1750999413 | Staci Y Williams | Nurse Practitioner | 5606 Sw Lee Blvd Ste 203, Lawton, OK 73505-9651 | 2020-07-20 |
1083222137 | Wichita Medical Anesthesia LLC | Nurse Anesthetist, Certified Registered | 3617 W Gore Blvd Ste C, Lawton, OK 73505-6373 | 2020-07-15 |
1801414628 | Kimberly Noelle Hanley | Nurse Practitioner | 4411 W Gore Blvd Ste A, Lawton, OK 73505-6016 | 2020-07-08 |
Find all providers in LAWTON |
Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861862120 | Sarah Williams | General Acute Care Hospital | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2015-09-30 |
1457721722 | Sherri Yagoubi | General Acute Care Hospital | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2015-09-30 |
1770886152 | Lawton Indian Hospital | General Acute Care Hospital | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2010-12-07 |
1255363313 | Southwest Anesthesia - Service of Comanche County Memorial Hospital | General Acute Care Hospital | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2006-07-07 |
1952359986 | Southwestern Medical Center, LLC | General Acute Care Hospital | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 | 2006-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386101202 | Tulsa Er & Hospital LLC | General Acute Care Hospital | 717 W. 71st Street, Tulsa, OK 74132-7413 | 2019-02-27 |
1821565961 | Oklahoma Er Hospital, LLC | General Acute Care Hospital | 15103 N Pennsylvania Ave, Edmond, OK 73013-1401 | 2018-10-26 |
1942784715 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 4801 S.e. 15th Street, Del City, OK 73115 | 2018-09-18 |
1336623198 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 300 South Rockwell Avenue, Oklahoma City, OK 73128 | 2018-09-18 |
1194209155 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 9417 N Council Rd, Oklahoma City, OK 73162-6207 | 2018-09-17 |
1265971717 | Tulsa Micro Hospital, LLC | General Acute Care Hospital | 717 West 71st Street, Tulsa, OK 74132 | 2017-02-16 |
1811448384 | Emily Hutchinson | General Acute Care Hospital | 6708 E 76th St, Tulsa, OK 74133-3422 | 2016-10-20 |
1730635301 | Post Acute Medical Rehabilitation Hospital of Tulsa, LLC | General Acute Care Hospital | 10020 E 91st St, Tulsa, OK 74133-5835 | 2016-09-01 |
1922551779 | Malissa Calhoon | General Acute Care Hospital | 1004 Se 1st St, Pryor, OK 74361-4801 | 2016-07-28 |
1255884003 | Ou Medical Center | General Acute Care Hospital | 940 Ne 13th St Ste 1360, Oklahoma City, OK 73104-5008 | 2016-07-28 |
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.