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 SAYRE, Oklahoma. NPI 1760890040 is currently active in the NPPES registry. Verify at CMS.
Primary Care Clinic · SAYRE, OK
Registration Details
- NPI Number
- 1760890040
- Provider Type
- Organization
- NPI Issued
- Jul 30, 2014 (12.065012667714 yrs)
- Last Updated
- Sep 8, 2014
Practice Information
- Address
-
1601 WATTS STSAYRE, OK, 736621314Browse OK providers · Browse ZIP 73662
- Phone
- 5809289933
- 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.