340B Drug Pricing Program Database
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CHC08779-15 Comanche County Hospital Authority (Active)
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Main Details
Name
Comanche County Hospital Authority
Subdivision Name
LCHC Memorial Medical Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031212
340B ID
CHC08779-15
Grant Number
H80CS08779
Additional Details
Current Program Status
Active
Registration Date
12/19/2020
Participating Start Date
1/1/2021
Participating Approval Date
12/21/2020
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Lawton Community Health Center
Brent Smith, CEO
(580) 585-5852
Primary Contact
Lawton community health center
Sean McAvoy, Executive Director
(580) 280-4413
Addresses
Street Address
3201 W Gore Blvd Ste 304
Lawton, OK 73505-6350
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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