Mnt Diabetes Services

LBN: Comanche County Healthcare Corp
Mnt Diabetes Services is an health care organization with primary practice located at 3201 W Gore Blvd Suite 103, Lawton OK 73505-6378. The organization recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as the primary health care specialty. Comanche County Healthcare Corp can be contacted via phone (580) 250-6407, or through Smith, Brent via phone (580) 355-8620.

Contact Information

Primary practice address
3201 W Gore Blvd Suite 103 Lawton OK 73505-6378
Phone: (580) 250-6407
Fax: (580) 355-5893
Website:
Map and Directions
Authorized official contact:
Name: Smith, Brent
Phone: (580) 355-8620

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X

Profile Details

NPI number 1285886713
LBN Legal business name Comanche County Healthcare Corp
DBA Doing business as Mnt Diabetes Services
Authorized official Smith, Brent
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2008
Last updated May 8th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285886713 NPPES
Oklahoma MEDICAID 100810030L

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