Quartz Mountain Medical Clinic - Mangum

LBN: Blackhawk Mangum, Llc
Quartz Mountain Medical Clinic - Mangum is an health care organization with primary practice located at 118 South Louis Tittle , Mangum OK 73554. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Blackhawk Mangum, Llc can be contacted via phone (580) 782-2113, or through Davenport, Shana via phone (512) 681-3460.

Contact Information

Primary practice address
118 South Louis Tittle Mangum OK 73554
Phone: (580) 782-2113
Fax: (580) 782-2141
Website:
Map and Directions
Authorized official contact:
Name: Davenport, Shana
Phone: (512) 681-3460

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 2208 Oklahoma

Profile Details

NPI number 1033388509
LBN Legal business name Blackhawk Mangum, Llc
DBA Doing business as Quartz Mountain Medical Clinic - Mangum
Authorized official Davenport, Shana
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2008
Last updated Mar 4th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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