Organization · Type 2 NPI
Blackhawk Mangum LLC
Clinic/Center · Altus, OK
NPI number
1679966709
Active
Practice location
3000 N Main St
Altus, OK 73521-1348
Mailing address
1 Wickersham St
Mangum, OK 73554-9117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: 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).
2 other providers at this address
Other clinic/center providers in Altus
About NPI 1679966709
Blackhawk Mangum LLC's National Provider Identifier is 1679966709, issued on Mar 13, 2015. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Altus, OK. The record was last updated on Nov 17, 2015.