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Blackhawk Mangum LLC — NPI 1992737613, Mangum, OK | NPI Central

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NPI 1992737613

OrganizationActive

Blackhawk Mangum LLC

NPI 1992737613 · Critical Access Hospital · Mangum, OK

Provider details

NPI number: 1992737613
Entity type: Organization
Primary specialty: Critical Access HospitalHospitals
Organization subpart: No
Authorized official: Dayna Heine, Credential(979) 830-8529
License: 2208 (OK)

Specialties & taxonomies

Critical Access HospitalPrimary282NC0060XLicense 2208 (OK)
Hospitals

Practice location

One Wickersham Dr

Mangum, OK 73554-9117

Phone: (580) 782-3353

Fax: (580) 782-5944

Approximate (ZIP-level) locationGet directions

More OK providers

Mailing address

One Wickersham Dr

Mangum, OK 73554-9117

Other names (DBA / former)

Doing business as: Quartz Mountain Medical Center

Registry dates

Enumerated: 2006-07-06
Last updated: 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.