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

Blackhawk Mangum, LLC

Organization Critical Access Hospital · NPI 1922147305

Blackhawk Mangum, LLC is a Critical Access Hospital in Granite, 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.

See every abbreviation used in this directory →

Practice location Address checks out

417 N Main St
Granite, OK 73547
Phone: (580) 535-4615
Fax: (580) 535-4466
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Access Hospital (primary) Taxonomy 282NC0060X · Licence 2208 (OK)

Record details

NPI number1922147305
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Roland — Cfo · (580) 782-3353
Other names McH Granite Family Clinic
NPI enumeratedFebruary 5, 2007
Last updated in NPPESApril 20, 2008
Mailing addressOne Wickersham Drive, Mangum, OK 73554