Organization
CARNEGIE INDIAN HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAUGHERTY (AREA DIRECTOR)
(405) 951-3820
Entity
Organization
Contact information
Practice address
212 E. 4TH ST, CARNEGIE, OK 73015
(580) 654-1100
(580) 654-2273
Mailing address
PO BOX 1120, CARNEGIE, OK 73015-1120
(580) 654-1100
(580) 654-2533
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
83491
OK
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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