Organization Name: | CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL MANAGEMENT, INC |
NPI Number: | 1275657017 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHANE BRADLEY DUNNING (CEO) |
Mailing Address: | 102 N. Broadway Carnegie |
State: | OK US |
Postal Code: | 73015 |
Phone Number: | 5806541050 |
Fax Number: | 5806542111 |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 10/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |