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 S Louis Tittle Ave , Mangum OK 73554-4441. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Blackhawk Mangum Llc can be contacted via phone (580) 782-3353, or through Winter, Jan via phone (580) 782-3353.

Contact Information

Primary practice address
118 S Louis Tittle Ave Mangum OK 73554-4441
Phone: (580) 782-3353
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Winter, Jan
Phone: (580) 782-3353

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1295069151
LBN Legal business name Blackhawk Mangum Llc
DBA Doing business as Quartz Mountain Medical Clinic Mangum
Authorized official Winter, Jan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2009
Last updated Sep 25th, 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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