CARNEGIE INDIAN HLTH CLNC PHARMACY


Address: Us Hwy 9 West, Carnegie, OK 73015
Phone: 5806541100

CARNEGIE INDIAN HLTH CLNC PHARMACY (NPI# 1699825489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699825489
Entity Type Organization
Organization Name CARNEGIE INDIAN HLTH CLNC PHARMACY
Other Organization Name CARNEGIE INDIAN HEALTH CLINIC PHARMACY
Practice Address Us Hwy 9 West
Carnegie
OK 73015
Mailing Address Po Box 676707
Dallas
TX 75267-6707
Practice Telephone 5806541100
Practice Fax Number 5806542533
Enumeration Date 2007-01-12
Last Update Date 2016-09-22
Authorized Official Name TRACIE PATTEN (AREA PHARMACY CONSULTANT)
Authorized Official Telephone 4059516035
Authorized Official Credential PHARMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 20-3906 OK Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OK 100231960D 05
OK 10023196D 05
PK 2076412 01

Other Provider/Organization Names

Other Name Type Code
CARNEGIE INDIAN HEALTH CLINIC PHARMACY Doing Business As Name - Organization

Office Location

Street Address US HWY 9 WEST
City CARNEGIE
State OK
Zip Code 73015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336223593 Richard Satianty Harris Family Medicine Us Hwy 9 West, Carnegie Indian Health Clinic, Carnegie, OK 73015 2006-10-24

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 332800000X
Grouping Suppliers
Classification Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

Taxonomy Definition

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568512374 Wewoka Ihs Pharmacy Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Intersection of Hwy 56 and 270, Wewoka, OK 74884 2007-01-12
1316097389 Anadarko Ihs Pharmacy Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 115 Ne Old Town Rd, Anadarko, OK 73005-5009 2007-01-11
1538219431 El Reno Ihs Pharmacy Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 1801 Parkview Drive, El Reno, OK 73632 2007-01-11
1871663203 Sac & Fox Nation Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 356110 E 930 Rd, Stroud, OK 74079-5184 2006-11-09
1699790543 Li-si-wi-nwi Health, Inc Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 15951 Little Axe Drive, Norman, OK 73026-9001 2006-07-13
1952303190 Pawhuska Ihs Pharmacy Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 715 Grandview Ave, Pawhuska, OK 74056-3201 2005-06-01
1568839470 Osage Nation Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 715 Grandview Ave, Pawhuska, OK 74056-3201 2015-08-26
1295142115 Choctaw Nation of Oklahoma Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 1801 Chukka Hina, Durant, OK 74701 2014-07-14
1598053993 Citizen Potawatomi Nation West Clinic Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 781 Grand Casino Blvd, Shawnee, OK 74804-1005 2011-07-19
1891999157 White Eagle Health Center Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 200 White Eagle Drive, Ponca City, OK 74601 2007-06-12
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Competitor

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City CARNEGIE
Zip Code 73015

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Dataset Information

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.

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