COMANCHE COUNTY HOSPITAL AUTHORITY (NPI# 1851839096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851839096 |
| Entity Type | Organization |
| Organization Name | COMANCHE COUNTY HOSPITAL AUTHORITY |
| Other Organization Name | LCHC EASTSIDE |
| Practice Address |
1102 Se 36th St Lawton OK 73501-8462 |
| Mailing Address |
Po Box 2309 Section 2 Lawton OK 73502-2309 |
| Practice Telephone | 5805855550 |
| Practice Fax Number | 5805855551 |
| Mailing Telephone | 5803579984 |
| Mailing Fax Number | 5803573277 |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-03-14 |
| Authorized Official Name | BRENT SMITH (CHIEF EXECTIVE OFFICER) |
| Authorized Official Telephone | 5803558620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| LCHC Eastside | 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 |
| Street Address |
1102 SE 36TH ST |
| City | LAWTON |
| State | OK |
| Zip Code | 73501-8462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670077 | Marshall Krizoa Nguessan | Audiologist | 1102 Se 36th St, Ste B, Lawton, OK 73501-8458 | 2005-06-22 |
| 1720480080 | East Lawton Neighborhood Family Clinic, Pllc | Clinic/Center | 1102 Se 36th St, Ste. B, Lawton, OK 73501-8462 | 2014-09-18 |
| 1730594987 | East Lawton Neighborhood Family Clinic Pllc | Family Medicine | 1102 Se 36th St, Lawton, OK 73501-8462 | 2014-06-26 |
| 1114126331 | Wendy S Bartanen Md, PC | Family Medicine | 1102 Se 36th St, Lawton, OK 73501-8462 | 2007-07-17 |
| 1790876316 | Joseph Brent Brennan | Pharmacist | 1102 Se 36th St, Suite A, Lawton, OK 73501-8462 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1295079705 | Premier Behavorial Health | Community/Behavioral Health | 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 | 2012-11-21 |
| 1306156989 | Diana Nix | Licensed Practical Nurse | 611 Sw B Ave, Lawton, OK 73501 | 2010-10-15 |
| 1689993214 | Crystal Leday | Physical Therapy Assistant | 602 S.e. Wallock, Lawton, OK 73501 | 2010-05-21 |
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1962729848 | Tayler Gammon | Hearing Instrument Specialist | 423 S.w. C Ave, Lawton, OK 73501 | 2010-04-30 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1447487640 | Benjamin Llanos | Counselor | 1719 Sw 11th, Lawton, OK 73501 | 2009-06-15 |
| 1710122833 | Provide Hearing Aids | Public Health or Welfare | 1201 West Gore Blvd, Suite D, Lawton, OK 73501 | 2008-12-03 |
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| Find all providers in zip 73501 | ||||
| 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 |
|---|---|---|---|---|
| 1942836242 | Comanche County Hospital Authority | Clinic/Center | 3811 W Gore Blvd Ste 10, Lawton, OK 73505-6328 | 2020-03-18 |
| 1437719465 | Comanche County Hospital Authority | Clinic/Center | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2019-06-20 |
| 1790270502 | Comanche County Hospital Authority | Clinic/Center | 3201 W Gore Blvd Ste 203, Lawton, OK 73505-6350 | 2018-06-25 |
| 1346788296 | Comanche County Hospital Authority | Clinic/Center | 110 Nw 31st St, Suite 201, Lawton, OK 73505-6100 | 2017-02-10 |
| 1639540883 | Comanche County Hospital Authority | Clinic/Center | 602 Sw 38th St, Lawton, OK 73505-6912 | 2015-10-14 |
| 1992183099 | Comanche County Hospital Authority | Clinic/Center | 3811 W Gore Blvd, Suite 6, Lawton, OK 73505-6310 | 2015-05-11 |
| 1588832869 | Comanche County Hospital Authority | Clinic/Center | 5404 Sw Lee Blvd, Lawton, OK 73505 | 2008-02-20 |
| 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 | ||||
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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.