Blackhawk Mangum, LLC
Blackhawk Mangum, LLC is a Radiology Clinic/Center in Mangum, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2017.
- Licensed in
- OK
- In the registry since
- 2017
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1 Wickersham StMangum, OK 73554-9117
Phone: (580) 782-3353
Fax: (580) 782-5944
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
| Radiology Clinic/Center (primary) | Taxonomy 261QR0200X · Licence 2208 (OK) |
|---|
Record details
| NPI number | 1093247082 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Blackhawk Mangum, LLC |
| Authorized official | Tommy Johnson — Ceo · (580) 782-3353 |
| Other names | Altus Radiology Center |
| NPI enumerated | March 30, 2017 |
| Last updated in NPPES | March 30, 2017 |
| Mailing address | 3000 N Main St, Suite 100, Altus, OK 73521-1348 |