Blackhawk Mangum LLC
NPI 1104008168 · Medicare Defined Swing Bed Hospital Unit · Mangum, OK
Blackhawk Mangum LLC is a Medicare Defined Swing Bed Hospital Unit organization in Mangum, OK (NPI 1104008168).
Provider details
- NPI number
- 1104008168
- Entity type
- Organization
- Primary specialty
- Medicare Defined Swing Bed Hospital UnitHospital Units
- Organization subpart
- No
- Authorized official
- Dayna Heine, Insurance Credentialing Supervisor(979) 830-8529
- License
- 2208 (OK)
Specialties & taxonomies
Hospital Units
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Quartz Mountain Medical Center
Registry dates
- Enumerated
- 2007-12-03
- Last updated
- 2009-11-19
Frequently asked questions
- What is Blackhawk Mangum LLC's NPI number?
- Blackhawk Mangum LLC's National Provider Identifier (NPI) is 1104008168, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blackhawk Mangum LLC?
- Blackhawk Mangum LLC is classified in the NPPES registry as Medicare Defined Swing Bed Hospital Unit (Hospital Units).
- Where is Blackhawk Mangum LLC located?
- Blackhawk Mangum LLC's practice location on file with NPPES is One Wickersham Drive, Mangum, OK 73554.
- What is Blackhawk Mangum LLC's phone number?
- The practice phone number listed in the NPPES registry for Blackhawk Mangum LLC is (580) 782-3353.
- Who is the authorized official for Blackhawk Mangum LLC?
- The authorized official listed on Blackhawk Mangum LLC's NPPES record is Dayna Heine, Insurance Credentialing Supervisor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blackhawk Mangum LLC's NPI active?
- Yes — Blackhawk Mangum LLC's NPI (1104008168) is active in the NPPES registry as of the last update on 2009-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.