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Blackhawk Mangum Llc
Critical Access Hospital in Mangum, Oklahoma
NPI 1992737613

Blackhawk Mangum Llc is a Critical Access Hospital based in Mangum, OK and is specialized in Critical Access. Blackhawk Mangum Llc practices in Mangum, OK. The NPI Number for Blackhawk Mangum Llc is 1992737613 and holds a License No. 2208 (Oklahoma).

The current practice location address for Blackhawk Mangum Llc is One Wickersham Dr, Mangum, OK and can be reached out via phone at 580-782-3353 and via fax at 580-782-5944.

Location: One Wickersham Dr, Mangum, OK, 73554-9117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992737613
Provider Name
Blackhawk Mangum Llc
Credential
Provider Entity Type
Organization
Address
One Wickersham Dr, Mangum, OK, 73554-9117
Phone Number
580-782-3353
Fax Number
580-782-5944
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100699750A 05 OK
100699750B 05 OK
institution
Provider Business Practice Location Address Details
Address
One Wickersham Dr
City
Mangum
State
Oklahoma
Zip
73554-9117
Phone Number
580-782-3353
Fax Number
580-782-5944
person
Provider Business Mailing Address Details
Address
One Wickersham Dr
City
Mangum
State
Oklahoma
Zip
73554-9117
Phone Number
580-782-3353
Fax Number
580-782-5944
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
Critical Access
Taxonomy
282NC0060X
License No.
2208 (Oklahoma)
Definition
Definition to come.
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