340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH370056D COMANCHE COUNTY MEMORIAL HOSPITAL (Active)
Print
Main Details
Name
COMANCHE COUNTY MEMORIAL HOSPITAL
Subdivision Name
CANCER CENTERS OF SOUTHWEST OKLAHOMA
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH370056D
Medicare Provider Number
370056
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/14/2008
Participating Start Date
10/14/2008
Participating Approval Date
10/14/2008
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
Cancer Centers of Southwest Oklahoma
LANE HOOTON, CHIEF OPERATING OFFICER
(580) 250-5859
Addresses
Street Address
104 NW 31ST STREET
LAWTON, OK 73505
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
3
of
3
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
3
of
3
Page:
of 1
Go
Page size:
Change
3/24/2010-DOC. RECD. TO CONFIRM ELIG. DSH. PERCENTAGE; 1/19/2010- UPDATED ADDRESS (WAS 5404 W LEE BLVD); 3/2/09 UPDATED ADDRESS (WAS 5002 SW LEE BLVD); 10/28/08 UPDATED MEDICAID NUMBER TO PENDING
05/21/2012
3/24/2010-DOC. RECD. TO CONFIRM ELIG. DSH. PERCENTAGE; 1/19/2010- UPDATED ADDRESS (WAS 5404 W LEE BLVD); 3/2/09 UPDATED ADDRESS (WAS 5002 SW LEE BLVD); 10/28/08 UPDATED MEDICAID NUMBER TO PENDING
01/19/2010
3/24/2010-DOC. RECD. TO CONFIRM ELIG. DSH. PERCENTAGE; 1/19/2010- UPDATED ADDRESS (WAS 5404 W LEE BLVD); 3/2/09 UPDATED ADDRESS (WAS 5002 SW LEE BLVD); 10/28/08 UPDATED MEDICAID NUMBER TO PENDING
10/14/2008
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session