Organization
COMANCHE COUNTY HEALTHCARE CORP
Active
Other names
Memorial Medical Group Carnegie Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOE KIP CUMMINS (CFO)
(580) 355-8620
Entity
Organization
Contact information
Practice address
102 N BROADWAY, CARNEGIE, OK 73015
(580) 654-2500
(580) 654-1488
Mailing address
PO BOX 785, LAWTON, OK 73502-0785
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2525
OK
207Q00000X
Family Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100810030L
—
OK
Enumeration date
07/18/2006
Last updated
10/25/2011
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