COMANCHE COUNTY HOSPITAL AUTHORITY (NPI# 1427130947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427130947 |
Entity Type | Organization |
Organization Name | COMANCHE COUNTY HOSPITAL AUTHORITY |
Other Organization Name | GREAT PLAINS PHARMACY |
Practice Address |
3201 W Gore Blvd Lawton OK 73505-6378 |
Practice Telephone | 5805855401 |
Practice Fax Number | 5805107033 |
Mailing Telephone | 5805855401 |
Mailing Fax Number | 5805107033 |
Enumeration Date | 2006-10-20 |
Last Update Date | 2020-05-05 |
Authorized Official Name | KIMERA CAREL (PHRM MNG) |
Authorized Official Telephone | 5805855401 |
Authorized Official Credential | DPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
Y | 333600000X | Pharmacy | 3-4456 | OK | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2074707 | 01 | |
OK | 100749570R | 05 |
Other Name | Type Code |
---|---|
GREAT PLAINS PHARMACY | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285181610 | Comanche County Hospital Authority | Ambulance | 129 E Colorado St, Walters, OK 73572-1461 | 2016-09-01 |
1225320898 | Comanche County Hospital Authority | Durable Medical Equipment & Medical Supplies | 2710 W Gore Blvd, Lawton, OK 73505-6319 | 2011-05-13 |
1740584184 | Comanche County Hospital Authority | Ambulance | 7892 Highway 277, Elgin, OK 73538-0000 | 2010-12-28 |
1609897461 | Comanche County Hospital Authority | Family Medicine | 1102 South Cobb Lake Street, Apache, OK 73006 | 2006-07-21 |
1932127594 | Comanche County Hospital Authority | Family Medicine | 1318 S Broadway St, Suite A, Marlow, OK 73055-3864 | 2006-07-18 |
1790702579 | Comanche County Hospital Authority | Family Medicine | 823 D St, Snyder, OK 73566-2031 | 2006-07-16 |
1427075498 | Comanche County Hospital Authority | Family Medicine | 513 Hilary, Suite C, Comanche, OK 73529 | 2006-07-16 |
1215965991 | Comanche County Hospital Authority | Durable Medical Equipment & Medical Supplies | 924 Nw 38th St, Lawton, OK 73505-3703 | 2006-06-29 |
1720022379 | Comanche County Hospital Authority | General Acute Care Hospital | 3401 West Gore Blvd, Lawton, OK 73502-0129 | 2006-06-15 |
1770525883 | Comanche County Hospital Authority | Ambulance | 1301 Sw 30th St, Lawton, OK 73505-7904 | 2006-06-12 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oklahoma Business Registrations | COMANCHE COUNTY HOSPITAL AUTHORITY | C/o The Public Finance Law Group Pllc, 5667 N Classen Blvd Ste 100, Oklahoma City, OK 73118 |
Street Address |
3201 W GORE BLVD |
City | LAWTON |
State | OK |
Zip Code | 73505-6378 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144227273 | Prabhudas Khodidas Patel | Surgery | 3201 W Gore Blvd, Suite 103, Lawton, OK 73505-6378 | 2005-07-05 |
1245744986 | Stephanie Morris | Nurse Practitioner | 3201 W Gore Blvd, Lawton, OK 73505-6378 | 2017-11-16 |
1114466455 | Comanche County Healthcare Corporation | Family Medicine | 3201 W Gore Blvd, Suite 203, Lawton, OK 73505-6378 | 2017-02-20 |
1609315308 | Comanche County Healthcare Corporation | Otolaryngology | 3201 W Gore Blvd, Suite 103, Lawton, OK 73505-6378 | 2017-02-15 |
1174901102 | Comanche County Healthcare Corportation | Pediatrics | 3201 W Gore Blvd, Suite G1, Lawton, OK 73505-6378 | 2015-05-11 |
1780027433 | Amber Lee Cobia | Physical Therapist | 3201 W Gore Blvd, Lawton, OK 73505-6378 | 2013-04-12 |
1891039517 | Comanche County Healthcare Corp | Internal Medicine | 3201 W Gore Blvd, Suite 202, Lawton, OK 73505-6378 | 2012-11-19 |
1629328786 | Sherif Sayed Ismail Md PC | Skilled Nursing Facility | 3201 W Gore Blvd, Suite 105, Lawton, OK 73505-6378 | 2012-09-17 |
1659647501 | Comanche County Healthcare Corp | Family Medicine | 3201 W Gore Blvd, Ste 300, Lawton, OK 73505-6378 | 2012-03-26 |
1164736351 | Comanche County Healthcare Corp | Internal Medicine | 3201 W Gore Blvd, Suite 203, Lawton, OK 73505-6378 | 2010-07-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
Find all providers in zip 73505 |
Taxonomy Code | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942366430 | 1st Pharmacy Corp | Pharmacy | 2702 W. Gore Blvd., Lawton, OK 73505 | 2006-12-29 |
1952952566 | Comanche County Hospital Authority | Pharmacy | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2019-09-25 |
1902063902 | State of Oklahoma | Pharmacy | 501 Se Flower Mound Rd, Lawton, OK 73501-6388 | 2008-05-19 |
1801961743 | Quantum Medical Inc | Pharmacy | 4202 Sw Lee Blvd, Bldg B, Ste 204a, Lawton, OK 73505-8300 | 2006-11-22 |
1124059191 | K Mart Corp | Pharmacy | 1050 Nw 38th St, Lawton, OK 73505-3704 | 2006-07-06 |
1598763005 | Dishman Pharmacy Inc | Pharmacy | 1310 Sw Lee Blvd, Lawton, OK 73501-5610 | 2005-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740808625 | Bigbox Pharmacy Unlimited LLC | Pharmacy | 509 E Chestnut St Ste B, Hollis, OK 73550-2031 | 2020-07-08 |
1033736657 | Genscripts Glenpool, LLC | Pharmacy | 12100 South Yukon Avenue, Suite A, Glenpool, OK 74033 | 2020-06-30 |
1952923104 | Creek Nation Hospital & Clinics | Pharmacy | 31870 1/2 East Hwy 51, Coweta, OK 74429-7900 | 2020-05-11 |
1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
1225592496 | Crimson Spire Pharmacy | Pharmacy | 5600 S.e. 67 Str, Suite A, Okc, OK 73135 | 2019-01-22 |
1366945842 | Pharmore Specialty Pharmacies LLC | Pharmacy | 3330 Nw 56th St Ste 100, Oklahoma City, OK 73112-4426 | 2018-03-12 |
1295241867 | Mannford Pharmacy LLC | Pharmacy | 231 W Trower Blvd, Mannford, OK 74044 | 2017-12-19 |
1215448337 | 1st Choice Pharmacy | Pharmacy | 1147a W 15th St, Edmond, OK 73013-3008 | 2017-10-16 |
1336663699 | Cpii, LLC | Pharmacy | 811 W. New Orleans, Ste 101, Broken Arrow, OK 74011 | 2017-07-28 |
1255855854 | Okc Scripts LLC | Pharmacy | 5914 Nw 38th St # 5914, Warr Acres, OK 73122-2008 | 2017-07-26 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.