MEMORIAL MEDICAL GROUP MINOR EMERGENCY CLINIC
NPI 1053337428
Clinic/Center in Lawton, OK
NPI Status: Active since July 15, 2006
Contact Information
4411 W GORE BLVD
SUITE A2
LAWTON, OK
ZIP 73505
Phone: (580) 355-0575
Fax: (580) 248-1725
- Organization
- Clinic/Center
- Accepts Insurance
- CLIA Number: 37D0989935
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 08-08-2027
About MEMORIAL MEDICAL GROUP MINOR EMERGENCY CLINIC
This page provides the complete NPI Profile along with additional information for Memorial Medical Group Minor Emergency Clinic, a provider established in Lawton, Oklahoma operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1053337428 assigned on July 2006. The practitioner's primary taxonomy code is 261Q00000X with license number 18333 (OK). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Memorial Medical Group Minor Emergency Clinic. The authorized official of this NPI record is Mr. Brent Smith (Cfo)
- NPI
- 1053337428
- Provider Legal Name
- COMANCHE COUNTY HEALTHCARE
- Other Organization Name
- MEMORIAL MEDICAL GROUP MINOR EMERGENCY CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4411 W GORE BLVD SUITE A2 LAWTON, OK 73505
- Location Phone
- (580) 355-0575
- Location Fax
- (580) 248-1725
- Mailing Address
- PO BOX 785 LAWTON, OK 73502
- Mailing Phone
- (580) 357-9984
- Mailing Fax
- (580) 248-1725
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-15-2006
- Last Update Date
- 05-08-2015
- Code Navigator
According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is government and was certified on 07-01-2006 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 18333
- License State
- OK
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- MENDING Direct Primary Care Gold $0 Ded ($0 DPC $0 PCP + $0 Mental Health) - HMO
- MENDING Direct Primary Care Silver 2300 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- MENDING Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
- MENDING Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
- MENDING Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| =========G | MEDICARE ID-TYPE UNSPECIFIED (04) | OK |
Inpatient Rehabilitation Information
The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.
- MEMORIAL MEDICAL GROUP MINOR EMERGENCY CLINIC has an ownership type of Government
- The facility received it's medicare certification date on 07-01-2006
| Medical Condition | Times Conditions Treated |
|---|---|
| All other conditions | 43 |
| Brain disease or condition (non-traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Brain injury (traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Hip or femur fracture | 64 |
| Hip or knee replacement, amputation or other bone or joint condition | 25 |
| Nervous system disorder (excluding stroke) | Less than 11 - The number of cases/patient stays is too small to report. |
| Spinal cord disease or condition (non-traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Spinal cord injury (traumatic) | Not Available - Data not available for this reporting period. |
| Stroke | 40 |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 37D0989935
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- August 09, 2025
- Certificate Expiration Date
- August 08, 2027
- Laboratory Director
- BRIAN M. MEEKS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Memorial Medical Group Minor Emergency Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053337428, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LAWTON, OK 73505
LAWTON, OK 73505
LAWTON, OK 73505
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053337428, enumerated as an "organization" on July 15, 2006.
The provider is located at 4411 W GORE BLVD SUITE A2 LAWTON, OK 73505 and the phone number is (580) 355-0575.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: Mending Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
