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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLACKHAWK MANGUM LLC

Active Organization

BLACKHAWK MANGUM LLC is a Clinic/Center organization located in ALTUS, Oklahoma. NPI 1679966709 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · ALTUS, OK

Registration Details

NPI Number
1679966709
Provider Type
Organization
NPI Issued
Mar 13, 2015 (11.430594001711 yrs)
Last Updated
Nov 17, 2015

Practice Information

Address
3000 N MAIN ST
ALTUS, OK, 735211348
Browse OK providers · Browse ZIP 73521
Phone
5807823353
Primary Specialty
Clinic/Center
261Q00000X

Other Clinic/Center Organizations in ALTUS, OK

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.