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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 Critical Access Hospital organization located in GRANITE, Oklahoma. NPI 1922147305 is currently active in the NPPES registry. Verify at CMS.

Critical Access Hospital · GRANITE, OK

Registration Details

NPI Number
1922147305
Provider Type
Organization
NPI Issued
Feb 5, 2007 (19.494658046964 yrs)
Last Updated
Apr 20, 2008
License
2208 (OK)

Practice Information

Address
417 NORTH MAIN ST
GRANITE, OK, 73547
Browse OK providers · Browse ZIP 73547
Phone
5805354615
Fax
5805354466
Primary Specialty
Critical Access Hospital
282NC0060X
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.