Organization · Type 2 NPI
Blackhawk Mangum LLC
Rural Health Clinic/Center · Mangum, OK
NPI number
1225362015
Active
Practice location
One Wickersham Drive
Mangum, OK 73554-9117
Mailing address
PO Box 280
Mangum, OK 73554-0280
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
Another provider at this address
Other rural health clinic/center providers in Mangum
About NPI 1225362015
Blackhawk Mangum LLC's National Provider Identifier is 1225362015, issued on Sep 25, 2009. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Mangum, OK. The record was last updated on Sep 25, 2009.