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Blackhawk Mangum Llc
Medicare Defined Swing Bed Hospital Unit in Mangum, Oklahoma
NPI 1104008168

Blackhawk Mangum Llc is a Medicare Defined Swing Bed Hospital Unit based in Mangum, OK. Blackhawk Mangum Llc practices in Mangum, OK. The NPI Number for Blackhawk Mangum Llc is 1104008168 and holds a License No. 2208 (Oklahoma).

The current practice location address for Blackhawk Mangum Llc is One Wickersham Drive, Mangum, OK and can be reached out via phone at 580-782-3353.

Location: One Wickersham Drive, Mangum, OK, 73554-0280
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104008168
Provider Name
Blackhawk Mangum Llc
Credential
Provider Entity Type
Organization
Address
One Wickersham Drive, Mangum, OK, 73554-0280
Phone Number
580-782-3353
Fax Number
Provider Enumeration Date
12/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
One Wickersham Drive
City
Mangum
State
Oklahoma
Zip
73554
Phone Number
580-782-3353
Fax Number
person
Provider Business Mailing Address Details
Address
One Wickersham Drive
City
Mangum
State
Oklahoma
Zip
73554
Phone Number
580-782-3353
Fax Number
person
Provider's Taxonomy Details 1
Type
Hospital Units
Classification
Medicare Defined Swing Bed Unit
Speciality
-
Taxonomy
275N00000X
License No.
2208 (Oklahoma)
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
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