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DSH370056 COMANCHE COUNTY MEMORIAL HOSPITAL (Active)
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Main Details
Name
COMANCHE COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH370056
Medicare Provider Number
370056
Additional Details
Current Program Status
Active
Registration Date
5/6/2008
Participating Start Date
10/1/2004
Participating Approval Date
5/6/2008
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Comanche County Memorial Hospital
George Kruger, CHIEF FINANCIAL OFFICER
(580) 585-5522 Ext: 5522
Primary Contact
Comanche County Memorial Hospital
Cheryl Hale, Director of Pharmacy
(580) 585-5436 Ext: 3277
Addresses
Street Address
3401 W Gore Blvd
LAWTON, OK 73505
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/24/2010-DOC. RECD. TO CONFIRM ELIG. DSH. PERCENTAGE
05/06/2008
May 2025
May 2025
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