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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: August 02, 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
Phone(580) 782-3353
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

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals
Taxonomy Code282NC0060X
1 WICKERSHAM ST, Mangum, OK 73554
Open in Google Maps ↗

Other Names 1

Doing Business AsMangum Regional Medical Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANGUM CITY HOSPITAL AUTHORITY
Medicare Defined Swing Bed Unit
1 WICKERSHAM ST
MANGUM, OK 73554
Greer County (580) 782-3353
BLACKHAWK MANGUM, LLC
Clinic/Center (Radiology)
1 WICKERSHAM ST
MANGUM, OK 73554
Greer County (580) 782-3353
MR. JEFFREY ALLEN BRAND PA-C
Physician Assistant (Medical)
1 WICKERSHAM ST
MANGUM, OK 73554
Greer County (580) 782-3353
BLACKHAWK MANGUM, LLC
Clinic/Center
1 WICKERSHAM ST
MANGUM, OK 73554
Greer County (580) 782-3353
NELSON SIMBA OGEMBO FNP-C
Nurse Practitioner (Family)
1 WICKERSHAM ST
MANGUM, OK 73554
Greer County (580) 782-3353
CHRISTIAN SMITH
Physical Therapist
1 WICKERSHAM ST
MANGUM, OK 73554
Greer County (580) 782-3353
BLACKHAWK MANGUM, LLC
Clinic/Center
1 WICKERSHAM ST
MANGUM, OK 73554
Greer County (580) 782-3353
RUSSELL D BERRY LPTA
Physical Therapy Assistant
1 WICKERSHAM ST
MANGUM, OK 73554
Greer County (580) 782-3353

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.

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 from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer 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.