MEMORIAL MEDICAL GROUP CARDIOVASCULAR AND THORACIC SURGERY – NPI #1316963705
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

MEMORIAL MEDICAL GROUP CARDIOVASCULAR AND THORACIC SURGERY is a provider located in LAWTON, OK. NPPES has assigned the NPI number 1316963705 to MEMORIAL MEDICAL GROUP CARDIOVASCULAR AND THORACIC SURGERY 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 CARDIOVASCULAR AND THORACIC SURGERY” is a dba name, the actual legal business name for this organization is COMANCHE COUNTY HEALTHCARE. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

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 CARDIOVASCULAR AND THORACIC SURGERY below.

NPI Profile for
COMANCHE COUNTY HEALTHCARE

NPI Number
1316963705
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 CARDIOVASCULAR AND THORACIC SURGERY
Primary location
3401 W GORE BLVD
LAWTON, OK 73505
Phone: (580) 357-4339 Fax: (580) 357-4423
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
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 OK 16465

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.