Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLACKHAWK MANGUM, LLC
Active OrganizationBLACKHAWK MANGUM, LLC is a Family Medicine organization located in MANGUM, Oklahoma. NPI 1093986937 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MANGUM, OK
Registration Details
- NPI Number
- 1093986937
- Provider Type
- Organization
- NPI Issued
- Mar 19, 2008 (18.389489048349 yrs)
- Last Updated
- Jul 23, 2008
- Licenses
-
2208 (OK)2208 (OK)2208 (OK)2208 (OK)
Practice Information
- Address
-
ONE WICKERSHAM DRMANGUM, OK, 73554Browse OK providers · Browse ZIP 73554
- Phone
- 5807823353
- Fax
- 5807822811
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Family Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.