# CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL MANAGEMENT, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carnegie Tri-County Municipal Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275657017
- **Authorized official:** MR. SHANE BRADLEY DUNNING (CEO)
- **Authorized official phone:** (580) 654-1050

## Contact information

- **Practice address:** 102 N. BROADWAY, CARNEGIE, OK 73015
- **Practice address phone:** (580) 654-1050
- **Practice address fax:** (580) 654-2111
- **Mailing address:** PO BOX 97, CARNEGIE, OK 73015
- **Mailing address phone:** (580) 654-1050
- **Mailing address fax:** (580) 654-2111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 102 | OK | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 03/09/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100699690C | — | OK |