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MEMORIAL MEDICAL GROUP INTERNAL MEDICINE
NPI 1164736351
Internal Medicine in Lawton, OK

Active since July 30, 2010CLIA 37D0989935 · Waiver
3201 W GORE BLVD, SUITE 203, LAWTON, OK 73505(580) 510-7076(580) 510-7081 Get Directions Write a Review

NPPES record last updated: May 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Memorial Medical Group Internal Medicine NPPES

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

MEMORIAL MEDICAL GROUP INTERNAL MEDICINE (NPI 1164736351) is a healthcare organization registered as an internal medicine in Lawton, Oklahoma and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through August 8, 2027 and lists Brent Smith, Cfo, as its authorized official.

NPPES Registry Identity

NPI1164736351
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOMANCHE COUNTY HEALTHCARE CORP
Location Address3201 W GORE BLVD, SUITE 203Lawton, OK 73505-6378
Mailing AddressPo Box 785Lawton, OK 73502-0785 · (580) 357-9984 · Fax (580) 357-3277
Phone(580) 510-7076
Fax(580) 510-7081
Organization SubpartNo
Authorized OfficialBrent SmithCfo · (580) 355-8620
Enumeration DateJuly 30, 2010
Last NPPES UpdateMay 8, 2015
✔ NPI 1164736351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3201 W GORE BLVD, Lawton, OK 73505
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Other Names 1

Doing Business AsMemorial Medical Group Internal Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 37D0989935

Memorial Medical Group, Occupational Medicine · Lawton, OK
Active · expires Aug 8, 2027
CLIA Number37D0989935
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 9, 2025
Certificate Expiration DateAugust 8, 2027
Laboratory DirectorBrian M. Meeks
Laboratory Phone(580) 355-9675
Laboratory LocationMemorial Medical Group, Occupational Medicine3201 W Gore Blvd, Suite G-1, Lawton, OK 73505
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. HEIDI LYN AUSTIN OTR
Occupational Therapist
3201 W GORE BLVD
LAWTON, OK 73505
Comanche County (580) 250-5385
DR. STEPHEN KWAME OFORI-KWAKYE MD
Neurological Surgery
3201 W GORE BLVD, SUITE 303
LAWTON, OK 73505
Comanche County (580) 353-6000
DR. JACE JONES PHARMACIST
Pharmacist
3201 W GORE BLVD
LAWTON, OK 73505
Comanche County (580) 490-4595
COMANCHE COUNTY HEALTHCARE
Internal Medicine
3201 W GORE BLVD, SUITE 105
LAWTON, OK 73505
Comanche County (580) 510-7077
GREAT PLAINS PEDIATRICS, INC
Specialist
3201 W GORE BLVD, SUITE 100
LAWTON, OK 73505
Comanche County (580) 353-8942
COMANCHE COUNTY HEALTHCARE CORPORATION
Family Medicine
3201 W GORE BLVD, SUITE 203
LAWTON, OK 73505
Comanche County (580) 250-6540
DR. EDNA C SOLITARIO MD
Pediatrics (Pediatric Endocrinology)
3201 W GORE BLVD, SUITE 100
LAWTON, OK 73505
Comanche County (580) 353-8942
COMANCHE COUNTY HEALTHCARE CORPORATION
Urology
3201 W GORE BLVD, SUITE 201
LAWTON, OK 73505
Comanche County (580) 357-2261

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 Healthcare Corp's NPI number?

The NPI number for Comanche County Healthcare Corp is 1164736351. It was assigned to this organization in the NPPES registry on July 30, 2010. The provider is doing business as Memorial Medical Group Internal Medicine.

Where is Comanche County Healthcare Corp located?

Comanche County Healthcare Corp is located at 3201 W Gore Blvd Suite 203, Lawton, OK 73505. The listed phone number is (580) 510-7076.

What is Comanche County Healthcare Corp's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Comanche County Healthcare Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0989935) is associated with this NPI, valid through August 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Comanche County Healthcare Corp was last updated on May 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.