Organization · Type 2 NPI
Blackhawk Mangum, LLC
Critical Access Hospital · Granite, OK
NPI number
1922147305
Active
Practice location
417 North Main St
Granite, OK 73547
Fax (580) 535-4466
Mailing address
One Wickersham Drive
Mangum, OK 73554
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Access Hospital Primary | 282NC0060X | 2208 (OK) |
Critical Access Hospital: Definition to come.
About NPI 1922147305
Blackhawk Mangum, LLC's National Provider Identifier is 1922147305, issued on Feb 5, 2007. The primary taxonomy on file is Critical Access Hospital (282NC0060X), and the practice location is in Granite, OK. The record was last updated on Apr 20, 2008.