Blackhawk Mangum Llc in Mangum - Critical Access
Blackhawk Mangum Llc - NPI 1992737613
Blackhawk Mangum Llc is a Critical Access in Mangum, Oklahoma. Blackhawk Mangum Llc practices all healthcare services and medical treatments related to Critical Access. The NPI Number for Blackhawk Mangum Llc is 1992737613. The last update date is 2009-11-19.
Blackhawk Mangum Llc's current location address is One Wickersham Dr, Mangum, Oklahoma. You can contact this provider via phone number 5807823353 and fax number 5807825944. The mailing address for Blackhawk Mangum Llc is One Wickersham Dr, Mangum, Oklahoma. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Blackhawk Mangum Llc |
---|---|
Address | One Wickersham Dr, Mangum, Oklahoma |
Phone Number | 5807823353 |
Fax Number | 5807825944 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CREDENTIAL |
---|---|
Authorized Official Name | Heine Dayna |
Telephone Number | 9798308529 |
NPI Number Detail
NPI Number | 1992737613 |
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Provider Enumeration Date | 2006-07-06 |
Last Updated Date | 2009-11-19 |
Provider Mailing Address Detail
Address | One Wickersham Dr |
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City | Mangum |
State | Oklahoma (OK) |
Post Code | 735549117 |
Phone Number | 5807823353 |
Fax Number | 5807825944 |
Provider's Primary Taxonomy Detail
Speciality | Critical Access |
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Taxonomy | 282Nc0060X |
Licence No | 2208 |
Definition: Small, rural hospital meeting location and service criteria that allow it to receive cost-based Medicare and Medicaid reimbursement. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
100699750A | OK | -- | |
100699750B | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Blackhawk Mangum Llc by the Centers for Medicare & Medicaid Services?
The Blackhawk Mangum Llc has been issued the NPI (National Provider Identifier) 1992737613, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Blackhawk Mangum Llc is located?
The Blackhawk Mangum Llc is situated at the following address: One Wickersham Dr, Mangum, OK, 735549117.
What is Blackhawk Mangum Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Blackhawk Mangum Llc is Critical Access, and the taxonomy code that categorizes this field of expertise is 282Nc0060X.
On what date did the Blackhawk Mangum Llc receive the assignment of its 1992737613 from the Centers for Medicare & Medicaid Services?
The Blackhawk Mangum Llc was issued its 1992737613 by the Centers for Medicare & Medicaid Services on 2006-07-06.
When was the information regarding Blackhawk Mangum Llc most recently updated?
The details pertaining to the Blackhawk Mangum Llc, including its address, specialty, and other relevant information, were last refreshed on 2009-11-19.