=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306765037
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COMANCHE COUNTY HOSPITAL AUTHORITY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/15/2026
-----------------------------------------------------
Last Update Date | 07/21/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3401 W GORE BLVD
-----------------------------------------------------
City | LAWTON
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73505-6332
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 580-250-5850
-----------------------------------------------------
Fax | 580-585-5455
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3401 W GORE BLVD
-----------------------------------------------------
City | LAWTON
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73505-6332
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 580-250-5850
-----------------------------------------------------
Fax | 580-585-5455
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF PHARMACY
-----------------------------------------------------
Name | CHERYL A HALE
-----------------------------------------------------
Credential | DPH
-----------------------------------------------------
Telephone | 580-512-0749
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------