| Blackhawk Mangum Llc | |
|
118 S Louis Tittle Ave Mangum OK 73554-4441 | |
| (580) 782-3353 | |
| Not Available |
| Full Name | Blackhawk Mangum Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 118 S Louis Tittle Ave, Mangum, Oklahoma |
| Authorized Official Name and Position | Jan Winter (CEO) |
| Authorized Official Contact | 5807823353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackhawk Mangum Llc Po Box 280 Mangum OK 73554-0280 Ph: (580) 782-3353 | Blackhawk Mangum Llc 118 S Louis Tittle Ave Mangum OK 73554-4441 Ph: (580) 782-3353 |
| NPI Number | 1295069151 |
|---|---|
| Provider Enumeration Date | 09/25/2009 |
| Last Update Date | 09/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295069151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Blackhawk Mangum, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 South Louis Tittle, Mangum, OK 73554 Phone: 580-782-2113 Fax: 580-782-2141 | |
Jackson County Memorial Hospital Authority Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 114 S Louis Tittle Ave, Mangum, OK 73554 Phone: 580-782-3393 Fax: 580-782-3395 | |
Blackhawk Mangum Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: One Wickersham Drive, Mangum, OK 73554 Phone: 580-782-3353 | |
Blackhawk Mangum, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Wickersham St, Mangum, OK 73554 Phone: 580-782-3353 | |
Mangum City Hospital Authority Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 S Louis Tittle Ave, Mangum, OK 73554 Phone: 580-782-2000 Fax: 580-782-5906 | |
Tlc Of Chiropractic L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 W Lincoln St, Mangum, OK 73554 Phone: 580-782-3141 |