Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blackhawk Mangum LLC

Organization Medicare Defined Swing Bed Hospital Unit · NPI 1104008168

Blackhawk Mangum LLC is a Medicare Defined Swing Bed Hospital Unit in Mangum, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Partly verified

Some contact details are missing from the federal record.

One Wickersham Dr
Mangum, OK 73554
Phone: (580) 782-3353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medicare Defined Swing Bed Hospital Unit (primary) Taxonomy 275N00000X · Licence 2208 (OK)

Record details

NPI number1104008168
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dayna Heine — Insurance Credentialing Supervisor · (979) 830-8529
Other names Quartz Mountain Medical Center
NPI enumeratedDecember 3, 2007
Last updated in NPPESNovember 19, 2009
Mailing addressPo Box 280, Mangum, OK 73554-0280

Other providers in Mangum