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

Blackhawk Mangum LLC

Organization Rural Health Clinic/Center · NPI 1225362015

Blackhawk Mangum LLC is a Rural Health Clinic/Center in Mangum, Oklahoma. Registered with an NPI since 2009.

In the registry since
2009
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 73554-9117
Phone: (580) 782-3353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X

Record details

NPI number1225362015
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jan Winter — Ceo · (580) 782-3353
Other names Quartz Mountain Medical Clinic Mangum North
NPI enumeratedSeptember 25, 2009
Last updated in NPPESSeptember 25, 2009
Mailing addressPo Box 280, Mangum, OK 73554-0280

Other providers in Mangum