Whalio Doctors

NPI 1992737613

Blackhawk Mangum LLC

Organisation Critical Access Hospital Mangum, OK

Practice location

Address
One Wickersham Dr, Mangum, OK 73554-9117
Phone
(580) 782-3353
Fax
(580) 782-5944

Authorised official

Name
Dayna Heine
Title
Credential
Phone
(979) 830-8529

Registered specialties

Critical Access Hospital Primary
Hospitals Taxonomy 282NC0060X Licence 2208 (OK)

Registry record

NPI
1992737613
Entity type
Organization
NPI issued
6 Jul 2006
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.