MAIN STREET FAMILY MEDICAL CLINIC – NPI #1457377822
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.

MAIN STREET FAMILY MEDICAL CLINIC is a provider located in ALTUS, OK. NPPES has assigned the NPI number 1457377822 to MAIN STREET FAMILY MEDICAL CLINIC on July 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MAIN STREET FAMILY MEDICAL 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 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 18 years ago on Jan 29, 2008. 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 MAIN STREET FAMILY MEDICAL CLINIC below.

NPI Profile for
COMANCHE COUNTY HEALTHCARE

NPI Number
1457377822
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): MAIN STREET FAMILY MEDICAL CLINIC
Primary location
3000 N MAIN ST
SUITE A
ALTUS, OK 73521
Phone: (580) 477-4522 Fax: (580) 477-4727
Mailing address
PO BOX 785
LAWTON, OK 73502
Phone: (580) 357-9984 Fax: (580) 357-3277
Organization Subpart
No
Authorized Official
DAVID BLACKMON
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 14363

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.