Memorial Medical Group Carnegie Family Medical Clinic | |
102 N Broadway Carnegie OK 73015 | |
(580) 654-2500 | |
(580) 654-1488 |
Full Name | Memorial Medical Group Carnegie Family Medical Clinic |
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Speciality | Family Medicine |
Location | 102 N Broadway, Carnegie, Oklahoma |
Authorized Official Name and Position | Joe Kip Cummins (CFO) |
Authorized Official Contact | 5803558620 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Memorial Medical Group Carnegie Family Medical Clinic Po Box 785 Lawton OK 73502-0785 Ph: (580) 357-9984 | Memorial Medical Group Carnegie Family Medical Clinic 102 N Broadway Carnegie OK 73015 Ph: (580) 654-2500 |
NPI Number | 1346269925 |
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Provider Enumeration Date | 07/18/2006 |
Last Update Date | 10/25/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346269925 | NPI | - | NPPES |
100810030L | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2525 (Oklahoma) | Primary |
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
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