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MAIN STREET FAMILY MEDICAL CLINIC
NPI 1457377822
Family Medicine in Altus, OK

Active since July 15, 2006
3000 N MAIN ST, SUITE A, ALTUS, OK 73521(580) 477-4522(580) 477-4727 Get Directions Write a Review

NPPES record last updated: January 29, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Main Street Family Medical Clinic NPPES

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

MAIN STREET FAMILY MEDICAL CLINIC (NPI 1457377822) is a healthcare organization registered as a family medicine in Altus, Oklahoma and active in the NPI registry since July 2006. The organization lists David Blackmon, Cfo, as its authorized official.

NPPES Registry Identity

NPI1457377822
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOMANCHE COUNTY HEALTHCARE
Location Address3000 N MAIN ST, SUITE AAltus, OK 73521
Mailing AddressPo Box 785Lawton, OK 73502 · (580) 357-9984 · Fax (580) 357-3277
Phone(580) 477-4522
Fax(580) 477-4727
Organization SubpartNo
Authorized OfficialDavid BlackmonCfo · (580) 355-8620
Enumeration DateJuly 15, 2006
Last NPPES UpdateJanuary 29, 2008
✔ NPI 1457377822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 14363
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3000 N MAIN ST, Altus, OK 73521
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Other Names 1

Doing Business AsMain Street Family Medical Clinic

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

Other Providers at the Same Location NPPES 2

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

MS. SUZIE DEANN BRADDOCK LPC
Counselor (Professional)
3000 N MAIN ST, SUITE C
ALTUS, OK 73521
Jackson County (580) 471-9948
BLACKHAWK MANGUM LLC
Clinic/Center
3000 N MAIN ST
ALTUS, OK 73521
Jackson County (580) 782-3353

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's NPI number?

The NPI number for Comanche County Healthcare is 1457377822. It was assigned to this organization in the NPPES registry on July 15, 2006. The provider is doing business as Main Street Family Medical Clinic.

Where is Comanche County Healthcare located?

Comanche County Healthcare is located at 3000 N Main St Suite A, Altus, OK 73521. The listed phone number is (580) 477-4522.

What is Comanche County Healthcare's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Comanche County Healthcare was last updated on January 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.