Healthcare Provider Details

I. General information

NPI: 1346544616
Provider Name (Legal Business Name): COMANCHE COUNTY MEDICAL CENTER COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2010
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10201 HIGHWAY 16
COMANCHE TX
76442-4462
US

IV. Provider business mailing address

10201 HIGHWAY 16
COMANCHE TX
76442-4462
US

V. Phone/Fax

Practice location:
  • Phone: 254-879-4900
  • Fax: 254-879-4990
Mailing address:
  • Phone: 254-879-4900
  • Fax: 254-879-4990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number100123
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number11111
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number100123
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. DAN BONK
Title or Position: CEO
Credential:
Phone: 254-879-4900