MANGUM REGIONAL MEDICAL CENTER
NPI 1033635263
General Acute Care Hospital - Critical Access in Mangum, OK

Active since August 18, 2017CLIA Certified · 2 labs
1 WICKERSHAM ST, MANGUM, OK 73554(580) 782-3353 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Oct 1, 2020, Aug 18, 2017 (3 updates tracked since 2017).

About Mangum Regional Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANGUM REGIONAL MEDICAL CENTER (NPI 1033635263) is a healthcare organization registered as a critical access in Mangum, Oklahoma and active in the NPI registry since August 2017. The organization holds 2 active CLIA laboratory certificates and lists Andrea Snider, Controller, as its authorized official.

NPPES Registry Identity

NPI1033635263
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameMANGUM CITY HOSPITAL AUTHORITY
Location Address1 WICKERSHAM STMangum, OK 73554-9117
Mailing AddressPo Box 280Mangum, OK 73554-0280 · (580) 782-3353 · Fax (580) 782-5944
Organization SubpartNo
Authorized OfficialAndrea SniderController · (580) 782-3353
Enumeration DateAugust 18, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedOctober 1, 2020
✔ NPI 1033635263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code282NC0060X
1 WICKERSHAM ST, Mangum, OK 73554

Other Names 1

Doing Business AsMangum Regional Medical Center

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mangum Regional Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

36

Medicare enrollment records show 36 clinicians reassign Medicare billing to Mangum Regional Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Nurse Practitioner16
Family Practice7
Emergency Medicine3
Internal Medicine3
Hospitalist2
Orthopedic Surgery2
General Practice1
Psychiatry1
1 other specialty1

Nearest to this location (20)

See all 36
Nurse Practitioner
NPI 1336891381
1 WICKERSHAM ST
Mangum, OK 73554
(580) 782-3353
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1912468042
301 N 1ST ST BLDG 46
Altus, OK 73523
(580) 481-5230
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1104165067
429 W ELM ST
Hobart, OK 73651
(580) 726-5088
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1538418314
911 HOSPITAL DR
Sayre, OK 73662
(580) 928-5541
✔ PECOS✔ Accepts Medicare28 mi
Family Practice
NPI 1962821074
1002 NE HIGHWAY 66 STE 2
Sayre, OK 73662
(580) 928-2208
✔ PECOS✔ Accepts Medicare29 mi
Urology
NPI 1881828556
1800 W 1ST ST SUITE 106
Elk City, OK 73644
(580) 243-2200
✔ PECOS✔ Accepts Medicare36 mi
Orthopedic Surgery
NPI 1871971341
1710 W 3RD ST
Elk City, OK 73644
(580) 339-7540
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1366279218
1015 HILLCREST DR STE A
Vernon, TX 76384
(940) 217-6720
✔ PECOS✔ Accepts Medicare52 mi
Nurse Practitioner
NPI 1225275852
1001 US HIGHWAY 83 N
Childress, TX 79201
(940) 937-3636
✔ PECOS52 mi
General Practice
NPI 1295764108
102 N BROADWAY
Carnegie, OK 73015
(800) 942-2904
✔ PECOS✔ Accepts Medicare53 mi
Emergency Medicine
NPI 1952751455
3401 W GORE BLVD
Lawton, OK 73505
(580) 585-5548
✔ PECOS✔ Accepts Medicare64 mi
Nurse Practitioner
NPI 1598098717
1000 HOSPITAL CIR
Kingfisher, OK 73750
(405) 375-7847
✔ PECOS✔ Accepts Medicare113 mi
Internal Medicine
NPI 1053391672
1601 SW 89TH ST
Oklahoma City, OK 73159
(405) 681-2273
✔ PECOS116 mi
Emergency Medicine
NPI 1215387717
3300 HEALTHPLEX PKWY
Norman, OK 73072
(405) 307-1000
✔ PECOS✔ Accepts Medicare117 mi
Nurse Practitioner
NPI 1205151974
3300 NW EXPRESSWAY NZTI
Okc, OK 73112
(405) 949-3349
✔ PECOS✔ Accepts Medicare117 mi
Family Practice
NPI 1710477856
1401 SW 34TH ST
Moore, OK 73160
(405) 793-1188
✔ PECOS✔ Accepts Medicare117 mi
Orthopedic Surgery
NPI 1386099489
1110 N LEE AVE STE 200
Oklahoma City, OK 73103
(405) 218-2530
✔ PECOS✔ Accepts Medicare119 mi
Internal Medicine
NPI 1770564312
1705 RENAISSANCE BLVD SUITE 100
Edmond, OK 73013
(405) 682-8383
✔ PECOS✔ Accepts Medicare124 mi
Psychiatry
NPI 1306930029
1616 S STATE ST
Edmond, OK 73013
(405) 844-7888
✔ PECOS125 mi
Hospitalist
NPI 1265504179
647 OLD HOOVER RD
Thomasville, NC 27360
(336) 391-4382
✔ PECOS✔ Accepts Medicare1,093 mi
See all 36 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2305830

Mangum Regional Medical Center Nursing Department · Mangum, OK
Active · expires Jun 5, 2028
CLIA Number37D2305830
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJune 6, 2026
Certificate Expiration DateJune 5, 2028
Laboratory DirectorMary Caroline Holmboe
Laboratory Phone(580) 782-3353
Laboratory LocationMangum Regional Medical Center Nursing DepartmentOne Wickersham Drive, Mangum, OK 73554
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 37D0472320

Mangum Regional Medical Center Mangum City Hospital Authority · Mangum, OK
Active · expires Feb 17, 2027
CLIA Number37D0472320
Laboratory TypeHospital
Certificate Effective DateFebruary 18, 2025
Certificate Expiration DateFebruary 17, 2027
Laboratory DirectorCaroline Holmboe
Laboratory Phone(580) 782-3353
Laboratory LocationMangum Regional Medical Center Mangum City Hospital Authority1 Wickersham Drive, Mangum, OK 73554
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mangum City Hospital Authority's NPI number?

The NPI number for Mangum City Hospital Authority is 1033635263. It was assigned to this organization in the NPPES registry on August 18, 2017. The provider is doing business as Mangum Regional Medical Center.

Where is Mangum City Hospital Authority located?

Mangum City Hospital Authority is located at 1 Wickersham St, Mangum, OK 73554. The listed phone number is (580) 782-3353.

What is Mangum City Hospital Authority's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is Mangum City Hospital Authority enrolled in Medicare?

Yes. Mangum City Hospital Authority is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mangum City Hospital Authority?

According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 9 Medicare specialties reassign their Medicare billing to Mangum City Hospital Authority. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (16), Family Practice (7) and Emergency Medicine (3). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mangum City Hospital Authority hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mangum City Hospital Authority accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Mangum City Hospital Authority as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mangum City Hospital Authority was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.