MEMORIAL MEDICAL GROUP FAMILY MEDICINE – NPI #1275557712
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

MEMORIAL MEDICAL GROUP FAMILY MEDICINE is a provider located in LAWTON, OK. NPPES has assigned the NPI number 1275557712 to MEMORIAL MEDICAL GROUP FAMILY MEDICINE on July 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEMORIAL MEDICAL GROUP FAMILY MEDICINE” is a dba name, the actual legal business name for this organization is COMANCHE COUNTY HEALTHCARE. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

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 FAMILY MEDICINE below.

NPI Profile for
COMANCHE COUNTY HEALTHCARE

NPI Number
1275557712
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 FAMILY MEDICINE
Primary location
3201 W GORE BLVD
STE 202
LAWTON, OK 73505
Phone: (580) 248-7872 Fax: (580) 250-6428
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
207Q00000X
- Family Medicine (Primary)
OK 11593

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.