Mch Granite Family Clinic

LBN: Blackhawk Mangum, Llc
Mch Granite Family Clinic is an health care organization with primary practice located at 417 North Main St , Granite OK 73547. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Blackhawk Mangum, Llc can be contacted via phone (580) 535-4615, or through Roland, Brian via phone (580) 782-3353.

Contact Information

Primary practice address
417 North Main St Granite OK 73547
Phone: (580) 535-4615
Fax: (580) 535-4466
Website:
Map and Directions
Authorized official contact:
Name: Roland, Brian
Phone: (580) 782-3353

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 2208 Oklahoma

Profile Details

NPI number 1922147305
LBN Legal business name Blackhawk Mangum, Llc
DBA Doing business as Mch Granite Family Clinic
Authorized official Roland, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2007
Last updated Apr 20th, 2008 - about 17 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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