COMANCHE COUNTY HOSPITAL AUTHORITY (NPI# 1790702579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790702579 |
| Entity Type | Organization |
| Organization Name | COMANCHE COUNTY HOSPITAL AUTHORITY |
| Other Organization Name | MEMORIAL MEDICAL GROUP SNYDER FAMILY MEDICAL CLINIC |
| Practice Address |
823 D St Snyder OK 73566-2031 |
| Mailing Address |
Po Box 785 Lawton OK 73502-0785 |
| Practice Telephone | 5805692373 |
| Practice Fax Number | 5805692611 |
| Mailing Telephone | 5803579984 |
| Mailing Fax Number | 5803573277 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2015-05-08 |
| Authorized Official Name | BRENT SMITH (CFO) |
| Authorized Official Telephone | 5803558620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20057 | OK | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Memorial Medical Group Snyder 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 |
| 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 |
| 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 |
823 D ST |
| City | SNYDER |
| State | OK |
| Zip Code | 73566-2031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851530174 | Lacinda Gayett Sanchez | Physical Therapist | 16483 N. 2300 Rd, Rt 2, Box 29c, Snyder, OK 73566 | 2009-02-10 |
| 1396730966 | Danny L Jones | Physician Assistant | 823 D Street, Snyder, OK 73566 | 2005-09-20 |
| 1740753680 | Detrick Devon Whitehead | Case Manager/Care Coordinator | 307 1/2 2nd St, Snyder, OK 73566-1215 | 2019-01-03 |
| 1235112699 | Larry R Dismore | Pharmacy | 616 E St, Snyder, OK 73566-1850 | 2005-11-21 |
| 1316952153 | Ayers Nursing Home Inc | Nursing Facility/Intermediate Care Facility | 801 B St, Snyder, OK 73566-2023 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205300 | Amber Maschell Rodriguez | Licensed Practical Nurse | 2103 42nd St, Snyder, TX 79549-6056 | 2020-08-10 |
| 1346891322 | Susan Josephine Hughes | Licensed Practical Nurse | 38 Mount Vernon Rd, Snyder, NY 14226-4314 | 2019-09-22 |
| 1760030126 | Isi Technology Inc | Transportation Broker | 4476 Main St Ste 201, Snyder, NY 14226-4465 | 2019-08-29 |
| 1356908982 | Luciana Muto | Specialist | 75 Four Seasons Rd E, Snyder, NY 14226-4243 | 2019-05-20 |
| 1003472945 | Smiles of Snyder Pllc | Dentist | 5107 College Ave Ste B, Snyder, TX 79549-6275 | 2019-05-16 |
| 1487219432 | Gloria Ester Gonzalez | Counselor | 4006 Irving Ave, Snyder, TX 79549-6314 | 2019-05-06 |
| 1740753680 | Detrick Devon Whitehead | Case Manager/Care Coordinator | 307 1/2 2nd St, Snyder, OK 73566-1215 | 2019-01-03 |
| 1962979195 | Meghan Jim Dougher | Student in an Organized Health Care Education/Training Program | 167 Darwin Dr., Snyder, NY 14226 | 2018-10-25 |
| 1124514393 | Alekhya Patagarla | Dentist | 5107 College Ave Ste 2, Snyder, TX 79549-6277 | 2018-07-10 |
| 1194219923 | Third Wave Psychotherapy | Social Worker | 3960 Harlem Rd Ste 6b, Snyder, NY 14226-4706 | 2018-06-15 |
| Find all providers in SNYDER | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720131774 | Algirdas -------------------- Gamziukas | Family Medicine | 40 Lakewood Pkwy, Snyder, NY 14226-4001 | 2007-01-20 |
| 1841305224 | Nelson Brice | Family Medicine | 5206 Trinity Blvd, Snyder, TX 79549-6195 | 2006-08-19 |
| 1326364381 | Oscar Martinez Jr. | Family Medicine | 1700 Cogdell Blvd, Snyder, TX 79549 | 2010-04-15 |
| 1114243607 | Rebecca Lynn Burson | Family Medicine | 1700 Cogdell Blvd, Snyder, TX 79549-6162 | 2010-04-09 |
| 1750597415 | Ryan Edward Morris | Family Medicine | 1700 Cogdell Blvd, Snyder, TX 79549 | 2007-05-16 |
| 1396957155 | David Clark Kerr | Family Medicine | 1700 Cogdell Blvd, Snyder, TX 79549 | 2007-05-04 |
| 1659329365 | Dale C. Dunn, Md Pa | Family Medicine | 1700 Cogdell Blvd, Snyder, TX 79549-6162 | 2006-05-05 |
| 1639134430 | James Ray Burleson | Family Medicine | 1700 Cogdell Blvd, Snyder, TX 79549 | 2006-04-18 |
| 1649235433 | Bid Allen Cooper | Family Medicine | 1700 Cogdell Blvd, Snyder, TX 79549 | 2006-04-18 |
| 1477517340 | Paul A Thompson | Family Medicine | 5009 College Ave, Snyder, TX 79549 | 2006-04-17 |
| Find all providers in SNYDER | ||||
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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.