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Blackhawk Mangum, Llc
Clinic/Center in Mangum, Oklahoma
NPI 1316326770

Blackhawk Mangum, Llc is a Clinic/Center based in Altus, OK. Blackhawk Mangum, Llc practices in Mangum, OK. The NPI Number for Blackhawk Mangum, Llc is 1316326770 and holds a License No. (Oklahoma).

The current practice location address for Blackhawk Mangum, Llc is 1 Wickersham St, Mangum, OK and can be reached out via phone at 580-782-3353.

Location: 1 Wickersham St, Mangum, OK, 73521-3149
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316326770
Provider Name
Blackhawk Mangum, Llc
Credential
Provider Entity Type
Organization
Address
1 Wickersham St, Mangum, OK, 73521-3149
Phone Number
580-782-3353
Fax Number
Provider Enumeration Date
05/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Wickersham St
City
Mangum
State
Oklahoma
Zip
73554-9117
Phone Number
580-782-3353
Fax Number
person
Provider Business Mailing Address Details
Address
1 Wickersham St
City
Mangum
State
Oklahoma
Zip
73554-9117
Phone Number
580-782-3353
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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