NPI 1992737613
Blackhawk Mangum LLC
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
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.