Memorial Medical Group Family Medicine

LBN: Comanche County Healthcare
Memorial Medical Group Family Medicine is an health care organization with primary practice located at 3811 W Gore Blvd Suite 2, Lawton OK 73505-6328. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Comanche County Healthcare can be contacted via phone (580) 585-5550, or through Smith, Brent via phone (580) 355-8620.

Contact Information

Primary practice address
3811 W Gore Blvd Suite 2 Lawton OK 73505-6328
Phone: (580) 585-5550
Fax: (580) 585-5551
Website:
Map and Directions
Authorized official contact:
Name: Smith, Brent
Phone: (580) 355-8620

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16850 Oklahoma

Profile Details

NPI number 1326062837
LBN Legal business name Comanche County Healthcare
DBA Doing business as Memorial Medical Group Family Medicine
Authorized official Smith, Brent
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
Last updated May 8th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326062837 NPPES
Oklahoma MEDICAID 100205240A

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