Altus Radiology Center

LBN: Blackhawk Mangum, Llc
Altus Radiology Center is an health care organization with primary practice located at 1 Wickersham St , Mangum OK 73554-9117. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Blackhawk Mangum, Llc can be contacted via phone (580) 782-3353, or through Johnson, Tommy via phone (580) 782-3353.

Contact Information

Primary practice address
1 Wickersham St Mangum OK 73554-9117
Phone: (580) 782-3353
Fax: (580) 782-5944
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Tommy
Phone: (580) 782-3353

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X 2208 Oklahoma

Profile Details

NPI number 1093247082
LBN Legal business name Blackhawk Mangum, Llc
DBA Doing business as Altus Radiology Center
Authorized official Johnson, Tommy
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 30th, 2017
Last updated Mar 30th, 2017 - about 7 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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