COMANCHE COUNTY HEALTHCARE CORP (NPI# 1346269925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346269925 |
| Entity Type | Organization |
| Organization Name | COMANCHE COUNTY HEALTHCARE CORP |
| Other Organization Name | MEMORIAL MEDICAL GROUP CARNEGIE FAMILY MEDICAL CLINIC |
| Practice Address |
102 N Broadway Carnegie OK 73015 |
| Mailing Address |
Po Box 785 Lawton OK 73502-0785 |
| Practice Telephone | 5806542500 |
| Practice Fax Number | 5806541488 |
| Mailing Telephone | 5803579984 |
| Mailing Fax Number | 5803573277 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2011-10-25 |
| Authorized Official Name | JOE KIP CUMMINS (CFO) |
| Authorized Official Telephone | 5803558620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | 2525 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100810030L | 05 |
| Other Name | Type Code |
|---|---|
| Memorial Medical Group Carnegie Family Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437775848 | Comanche County Healthcare Corp | Internal Medicine | 3201 W Gore Blvd Ste 103, Lawton, OK 73505-6350 | 2020-06-22 |
| 1891039517 | Comanche County Healthcare Corp | Internal Medicine | 3201 W Gore Blvd, Suite 202, Lawton, OK 73505-6378 | 2012-11-19 |
| 1659647501 | Comanche County Healthcare Corp | Family Medicine | 3201 W Gore Blvd, Ste 300, Lawton, OK 73505-6378 | 2012-03-26 |
| 1164736351 | Comanche County Healthcare Corp | Internal Medicine | 3201 W Gore Blvd, Suite 203, Lawton, OK 73505-6378 | 2010-07-30 |
| 1285886713 | Comanche County Healthcare Corp | Dietitian, Registered | 3201 W Gore Blvd, Suite 103, Lawton, OK 73505-6378 | 2008-10-15 |
| 1558472506 | Comanche County Healthcare Corp | Surgery | 110 Nw 31st St, 3rd Floor, Lawton, OK 73505-6100 | 2006-08-31 |
| Street Address |
102 N BROADWAY |
| City | CARNEGIE |
| State | OK |
| Zip Code | 73015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346236726 | Troy L Harden | Family Medicine | 102 N Broadway, Carnegie, OK 73015 | 2005-09-21 |
| 1700951613 | Osu Center for Health Sciences | Clinic/Center | 102 N Broadway, Carnegie, OK 73015 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790278406 | Cohesive Medical Clinic Carnegie | Family Medicine | 101 Ash St, Carnegie, OK 73015 | 2018-06-08 |
| 1336641786 | Sherri Geanette Hilburn | Nursing Facility/Intermediate Care Facility | 225 N. Broadway, Carnegie, OK 73015 | 2018-03-01 |
| 1881139061 | Carnegie Family Clinic | Family Medicine | 101 W Ash Street, Carnegie, OK 73015 | 2016-12-27 |
| 1417328758 | Patricia Butler | Licensed Practical Nurse | 212 East 4th St, Carnegie, OK 73015 | 2015-10-13 |
| 1609162775 | Lynda K Walters | Physical Therapy Assistant | 28128 State Highway 58, Carnegie, OK 73015 | 2011-06-27 |
| 1235433079 | Tiana Marie Babb | Community Health Worker | 212 E. 4th St., Carnegie, OK 73015 | 2011-01-10 |
| 1639472970 | Carnegie Indian Health Clinic | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 212 E. 4th St, Carnegie, OK 73015 | 2010-12-08 |
| 1497072094 | Liberty Dental, Inc. | Dentist | 6 N. Broadway, Carnegie, OK 73015 | 2010-04-23 |
| 1013243906 | Linda Marie Bailey | Community Health Worker | Hiway 9 West, Pi # 1120, Carnegie, OK 73015 | 2009-10-27 |
| 1831368257 | Jenny Dawn Buster | Physical Therapist | 2 Brian Street, Carnegie, OK 73015 | 2008-02-29 |
| Find all providers in zip 73015 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790278406 | Cohesive Medical Clinic Carnegie | Family Medicine | 101 Ash St, Carnegie, OK 73015 | 2018-06-08 |
| 1881139061 | Carnegie Family Clinic | Family Medicine | 101 W Ash Street, Carnegie, OK 73015 | 2016-12-27 |
| 1649622366 | Margaret A. Moon | Family Medicine | 1100 Washington Ave Ste 115, Carnegie, PA 15106-3615 | 2016-07-06 |
| 1316197999 | Ashutosh Sunil Karnik | Family Medicine | 101 W Ash St, Carnegie, OK 73015-5013 | 2008-09-19 |
| 1336223593 | Richard Satianty Harris | Family Medicine | Us Hwy 9 West, Carnegie Indian Health Clinic, Carnegie, OK 73015 | 2006-10-24 |
| 1497707467 | Michael R Catena | Family Medicine | 907 Washington Ave, Carnegie, PA 15106-3215 | 2006-05-17 |
| 1942272471 | Louis Civitarese | Family Medicine | 2375 Greentree Rd, Carnegie, PA 15106-4203 | 2006-02-07 |
| 1346236726 | Troy L Harden | Family Medicine | 102 N Broadway, Carnegie, OK 73015 | 2005-09-21 |
| 1578922860 | Emily Johnson | Family Medicine | 2375 Greentree Rd, Carnegie, PA 15106-4203 | 2016-02-16 |
| 1114286747 | Jared Carl Bovalino | Family Medicine | 2375 Greentree Rd, Carnegie, PA 15106-4203 | 2012-05-16 |
| Find all providers in CARNEGIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.