Quartz Mountain Medical Center

LBN: Blackhawk Mangum Llc
Quartz Mountain Medical Center is an health care organization with primary practice located at One Wickersham Dr , Mangum OK 73554-9117. 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) 782-3353, or through Heine, Dayna via phone (979) 830-8529.

Contact Information

Primary practice address
One Wickersham Dr Mangum OK 73554-9117
Phone: (580) 782-3353
Fax: (580) 782-5944
Website:
Map and Directions
Authorized official contact:
Name: Heine, Dayna
Phone: (979) 830-8529

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 2208 Oklahoma

Profile Details

NPI number 1992737613
LBN Legal business name Blackhawk Mangum Llc
DBA Doing business as Quartz Mountain Medical Center
Authorized official Heine, Dayna
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2006
Last updated Nov 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992737613 NPPES
Oklahoma MEDICAID 100699750A
Oklahoma MEDICAID 100699750B

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