Blackwell Hmpn, LLC

NPI #1700132404 in Blackwell, Oklahoma

Provider Information

NPI Number: 1700132404
Entity Type: Organization
Organization Name: Blackwell Hmpn, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: HEALTH MANAGEMENT ASSOCIATES, INC.
Primary Specialty: Emergency Medicine
Enumeration Date: Jul 31, 2012
Last Updated: Nov 27, 2012

Practice Location

Address: 710 S 13TH ST
City: Blackwell
State: Oklahoma
ZIP Code: 74631-3700
Phone: (580) 363-9475

Authorized Official

Name: MR. MICHAEL L GINGRAS
Title: VICE PRESIDENT
Phone: (239) 598-3131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Anesthetist, Certified Registered	367500000X
Emergency Medicine	207P00000X	Primary

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