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 Primary Care Clinic organization located in HOLLIS, Oklahoma. NPI 1366611824 is currently active in the NPPES registry. Verify at CMS.
Primary Care Clinic · HOLLIS, OK
Registration Details
- NPI Number
- 1366611824
- Provider Type
- Organization
- NPI Issued
- Feb 28, 2008 (18.272529100901 yrs)
- Last Updated
- Jul 23, 2008
- License
-
2208 (OK)
Practice Information
- Address
-
513 EAST CHESTNUTHOLLIS, OK, 73550Browse OK providers · Browse ZIP 73550
- Phone
- 5806883314
- Fax
- 5806889530
- Primary Specialty
-
Primary Care Clinic
261QP2300X
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.