MEMORIAL MEDICAL GROUP MINOR EMERGENCY CLINIC – NPI #1053337428
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

MEMORIAL MEDICAL GROUP MINOR EMERGENCY CLINIC is an AHC clinic located in LAWTON, OK. NPPES has assigned the NPI number 1053337428 to MEMORIAL MEDICAL GROUP MINOR EMERGENCY CLINIC on July 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEMORIAL MEDICAL GROUP MINOR EMERGENCY CLINIC” is a dba name, the actual legal business name for this organization is COMANCHE COUNTY HEALTHCARE. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 11 years ago on May 08, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEMORIAL MEDICAL GROUP MINOR EMERGENCY CLINIC below.

NPI Profile for
COMANCHE COUNTY HEALTHCARE

NPI Number
1053337428
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMANCHE COUNTY HEALTHCARE
Doing Business As (dba): MEMORIAL MEDICAL GROUP MINOR EMERGENCY CLINIC
Primary location
4411 W GORE BLVD
SUITE A2
LAWTON, OK 73505
Phone: (580) 355-0575 Fax: (580) 248-1725
Mailing address
PO BOX 785
LAWTON, OK 73502
Phone: (580) 357-9984 Fax: (580) 357-3277
Organization Subpart
No
Authorized Official
BRENT SMITH
CFO
Phone: (580) 355-8620
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)		 OK 18333

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.