Memorial Medical Group Internal Medicine Clinic

LBN: Comanche County Hospital Authority
Memorial Medical Group Internal Medicine Clinic is an health care organization with primary practice located at 3201 W Gore Blvd Suite 304, Lawton OK 73505. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Comanche County Hospital Authority can be contacted via phone (580) 353-6760, or through Smith, Brent via phone (580) 585-5511.

Contact Information

Primary practice address
3201 W Gore Blvd Suite 304 Lawton OK 73505
Phone: (580) 353-6760
Fax: (580) 248-3760
Website:
Map and Directions
Authorized official contact:
Name: Smith, Brent
Phone: (580) 585-5511

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 17722 Oklahoma
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1346266731
LBN Legal business name Comanche County Hospital Authority
DBA Doing business as Memorial Medical Group Internal Medicine Clinic
Authorized official Smith, Brent
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2006
Last updated Jan 10th, 2024 - about 11 months 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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