Blackhawk Mangum, LLC
Blackhawk Mangum, LLC is a Primary Care Clinic/Center in Mangum, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2008.
- Licensed in
- OK
- In the registry since
- 2008
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
118 S Louis TittleMangum, OK 73554
Phone: (580) 782-2113
Fax: (580) 782-2141
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence 2208 (OK) |
|---|
Record details
| NPI number | 1033388509 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shana Davenport — Insurance Credentialing Supervisor · (512) 681-3460 |
| Other names | Quartz Mountain Medical Clinic - Mangum |
| NPI enumerated | February 28, 2008 |
| Last updated in NPPES | March 4, 2009 |
| Mailing address | Po Box 280, Mangum, OK 73554-0280 |