1104008168 BLACKHAWK MANGUM LLC
Medicare Defined Swing Bed Hospital Unit
Active
Basic Information
- Organization Name
- BLACKHAWK MANGUM LLC
- Enumeration Date
- December 3, 2007
- Last Update
- November 19, 2009
- Authorized Official
- DAYNA HEINE
INSURANCE CREDENTIALING SUPERVISOR
Phone: (979) 830-8529
Practice Location
- Address
- ONE WICKERSHAM DRIVE
MANGUM, OK 73554 - Phone
- (580) 782-3353
Mailing Address
- Address
- PO BOX 280
MANGUM, OK 735540280 - Phone
- N/A
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | Medicare Defined Swing Bed Unit | 2208 | OK | Primary |
Frequently Asked Questions
What is BLACKHAWK MANGUM LLC's NPI number?
BLACKHAWK MANGUM LLC's NPI number is 1104008168.
Which doctor has NPI number 1104008168?
The doctor with NPI number 1104008168 is BLACKHAWK MANGUM LLC.
What is BLACKHAWK MANGUM LLC's practice address?
BLACKHAWK MANGUM LLC's practice address is ONE WICKERSHAM DRIVE, MANGUM, OK, 73554.
Which doctor practices at ONE WICKERSHAM DRIVE, MANGUM, OK, 73554?
BLACKHAWK MANGUM LLC practices at ONE WICKERSHAM DRIVE, MANGUM, OK, 73554.
What is BLACKHAWK MANGUM LLC's mailing address?
BLACKHAWK MANGUM LLC's mailing address is PO BOX 280, MANGUM, OK, 735540280.
What is BLACKHAWK MANGUM LLC's phone number?
BLACKHAWK MANGUM LLC's phone number is (580) 782-3353.
Who is (580) 782-3353?
(580) 782-3353 is the phone number for BLACKHAWK MANGUM LLC.
What is BLACKHAWK MANGUM LLC's specialty?
BLACKHAWK MANGUM LLC's specialty is Medicare Defined Swing Bed Hospital Unit.
What type of doctor is BLACKHAWK MANGUM LLC?
BLACKHAWK MANGUM LLC is a Medicare Defined Swing Bed Hospital Unit.
Is BLACKHAWK MANGUM LLC a Medicare Defined Swing Bed Unit?
Yes, BLACKHAWK MANGUM LLC is a Medicare Defined Swing Bed Unit.
Is BLACKHAWK MANGUM LLC still practicing?
Yes, BLACKHAWK MANGUM LLC is currently practicing.
Is BLACKHAWK MANGUM LLC accepting new patients?
BLACKHAWK MANGUM LLC may be accepting new patients. Please call their office at (580) 782-3353 to inquire about availability.
Is NPI 1104008168 still active?
Yes, NPI 1104008168 is currently active.
Where does BLACKHAWK MANGUM LLC practice?
BLACKHAWK MANGUM LLC practices in MANGUM, OK.