OrganizationActive
Blackhawk Mangum LLC
NPI 1225362015 · Rural Health Clinic/Center · Mangum, OK
Provider details
- NPI number
- 1225362015
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jan Winter, Ceo(580) 782-3353
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
One Wickersham Drive
Mangum, OK 73554-9117
Phone: (580) 782-3353
Street-level locationGet directions
Mailing address
Po Box 280
Mangum, OK 73554-0280
Other names (DBA / former)
- Doing business as
- Quartz Mountain Medical Clinic Mangum North
Registry dates
- Enumerated
- 2009-09-25
- Last updated
- 2009-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.