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

Blackhawk Mangum LLC

Organization Clinic/Center · NPI 1679966709

Blackhawk Mangum LLC is a Clinic/Center in Altus, Oklahoma. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3000 N Main St
Altus, OK 73521-1348
Phone: (580) 782-3353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1679966709
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Owens — Owner · (580) 782-3353
Other names Quartz Mountain Medical Center Altus Clinic
NPI enumeratedMarch 13, 2015
Last updated in NPPESNovember 17, 2015
Mailing address1 Wickersham St, Mangum, OK 73554-9117

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