| Comanche County Hospital Authority | |
|
1102 South Cobb Lake Street Apache OK 73006 | |
| (580) 588-3257 | |
| (580) 588-3265 |
| Full Name | Comanche County Hospital Authority |
|---|---|
| Speciality | Clinic/Center |
| Location | 1102 South Cobb Lake Street, Apache, Oklahoma |
| Authorized Official Name and Position | Brent Smith (CEO) |
| Authorized Official Contact | 5803558620 |
| 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 1102 South Cobb Lake Street Apache OK 73006 Ph: (580) 588-3257 |
| NPI Number | 1609897461 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 01/10/2024 |
| Medicare PECOS PAC ID | 2668373689 |
|---|---|
| Medicare Enrollment ID | O20200930000556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609897461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16693 (Oklahoma) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |