Organization
CARNEGIE INDIAN HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN R WREN (CEO)
(580) 354-5407
Entity
Organization
Contact information
Practice address
212 E. 4TH STREET, CARNEGIE, OK 73015
(580) 654-1100
Mailing address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507
(580) 354-5150
(580) 354-5148
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100231960D
—
OK
05
—
100700620Q
—
OK
05
—
200119920A
—
OK
Enumeration date
09/20/2006
Last updated
03/07/2025
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