Blackhawk Mangum LLC

NPI #1992737613 in Mangum, Oklahoma

Provider Information

NPI Number: 1992737613
Entity Type: Organization
Organization Name: Blackhawk Mangum LLC
Primary Specialty: General Acute Care Hospital - Critical Access
Enumeration Date: Jul 6, 2006
Last Updated: Nov 19, 2009

Practice Location

Address: ONE WICKERSHAM DR
City: Mangum
State: Oklahoma
ZIP Code: 73554-9117
Phone: (580) 782-3353

Authorized Official

Name: DAYNA HEINE
Title: CREDENTIAL
Phone: (979) 830-8529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Acute Care Hospital - Critical Access — Critical Access	282NC0060X	Primary

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