| Comanche County Hospital Authority | |
|
825 Sooner Drive Burns Flat OK 73624 | |
| (580) 562-1716 | |
| (580) 562-3101 |
| Full Name | Comanche County Hospital Authority |
|---|---|
| Speciality | Clinic/Center |
| Location | 825 Sooner Drive, Burns Flat, Oklahoma |
| Authorized Official Name and Position | Brent Smith (CEO) |
| Authorized Official Contact | 5805855522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comanche County Hospital Authority 3401 W Gore Blvd Lawton OK 73505-6332 Ph: (580) 585-5443 | Comanche County Hospital Authority 825 Sooner Drive Burns Flat OK 73624 Ph: (580) 562-1716 |
| NPI Number | 1679111785 |
|---|---|
| Provider Enumeration Date | 12/19/2019 |
| Last Update Date | 12/19/2019 |
| Medicare PECOS PAC ID | 2668373689 |
|---|---|
| Medicare Enrollment ID | O20200114001122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679111785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Burns Flat Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 Sooner Drive, Burns Flat, OK 73624 Phone: 580-821-5505 |