LCHC MEDICINE PARK
NPI 1124694542
Clinic/Center - Federally Qualified Health Center (FQHC) in Medicine Park, OK

Q: What is Comanche County Hospital Authority's NPI number?

The NPI number for Comanche County Hospital Authority is 1124694542. It was assigned to this organization in the NPPES registry on May 27, 2021. The provider is doing business as Lchc Medicine Park.

Q: What is Comanche County Hospital Authority's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since May 27, 2021CLIA 37D2233479 · Waiver

19055 STATE HIGHWAY 49, MEDICINE PARK, OK 73507(580) 585-5503 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 21, 2021, Nov 24, 2021, Jul 27, 2021 and 1 more (4 updates tracked since 2021).

On this page

About Lchc Medicine Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LCHC MEDICINE PARK (NPI 1124694542) is a healthcare organization registered as a federally qualified health center (fqhc) in Medicine Park, Oklahoma and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through August 23, 2027 and lists Brent Smith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124694542

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCOMANCHE COUNTY HOSPITAL AUTHORITY

Location Address19055 STATE HIGHWAY 49Medicine Park, OK 73507

Mailing Address3401 W Gore BlvdLawton, OK 73505-6300 · (580) 585-5443

Phone(580) 585-5503

Organization SubpartNo

Authorized OfficialBrent SmithCeo · (580) 585-5522

Enumeration DateMay 27, 2021

Last NPPES UpdateDecember 21, 20214 updates tracked since enumeration

NPPES CertifiedDecember 20, 2021

✔ NPI 1124694542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

19055 STATE HIGHWAY 49, Medicine Park, OK 73507

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Other Names 1

Doing Business AsLchc Medicine Park

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lchc Medicine Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateOklahomaEnrollment IDO20211229001209Part A · Federally Qualified Health Center (FQHC)Due dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2233479

Lchc Medicine Park · Medicine Park, OK

Active · expires Aug 23, 2027

CLIA Number37D2233479

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateAugust 24, 2025

Certificate Expiration DateAugust 23, 2027

Laboratory DirectorMichael Ramos

Laboratory Phone(580) 585-5503

Laboratory LocationLchc Medicine Park19055 State Highway 49, Medicine Park, OK 73557

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Comanche County Hospital Authority's NPI number?

The NPI number for Comanche County Hospital Authority is 1124694542. It was assigned to this organization in the NPPES registry on May 27, 2021. The provider is doing business as Lchc Medicine Park.

Where is Comanche County Hospital Authority located?

Comanche County Hospital Authority is located at 19055 State Highway 49, Medicine Park, OK 73507. The listed phone number is (580) 585-5503.

What is Comanche County Hospital Authority's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Comanche County Hospital Authority enrolled in Medicare?

Yes. Comanche County Hospital Authority is registered in the Medicare PECOS enrollment system.

When is Comanche County Hospital Authority's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Oklahoma, Federally Qualified Health Center (FQHC)) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Comanche County Hospital Authority hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2233479) is associated with this NPI, valid through August 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Comanche County Hospital Authority accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Comanche County Hospital Authority as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Comanche County Hospital Authority was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.