NPI 1104008168

Blackhawk Mangum LLC

Organisation Medicare Defined Swing Bed Hospital Unit Mangum, OK

Practice location

Address: One Wickersham Drive, Mangum, OK 73554
Phone: (580) 782-3353
Mailing address: PO Box 280, Mangum, OK 73554-0280

Authorised official

Name: Dayna Heine
Title: Insurance Credentialing Supervisor
Phone: (979) 830-8529

Registered specialties

Medicare Defined Swing Bed Hospital Unit Primary

Hospital Units Taxonomy 275N00000X Licence 2208 (OK)

Other Medicare Defined Swing Bed Unit providers in Oklahoma →

Registry record

NPI: 1104008168
Entity type: Organization
NPI issued: 3 Dec 2007
Record last updated: 19 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.