# CARNEGIE FAMILY CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881139061
- **Authorized official:** GLENDA TAYLOR (BOARD MEMBER)
- **Authorized official phone:** (580) 774-9517

## Contact information

- **Practice address:** 101 W ASH STREET, CARNEGIE, OK 73015
- **Practice address phone:** (580) 654-4444
- **Mailing address:** 101 W ASH STREET, CARNEGIE, OK 73015
- **Mailing address phone:** (580) 654-4444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/27/2016
- **Last updated:** 12/27/2016