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QUARTZ MOUNTAIN MEDICAL CENTER
NPI 1104008168
Medicare Defined Swing Bed Unit in Mangum, OK

Active since December 03, 2007
ONE WICKERSHAM DRIVE, MANGUM, OK 73554(580) 782-3353 Get Directions Write a Review

NPPES record last updated: November 19, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Quartz Mountain Medical Center NPPES

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

QUARTZ MOUNTAIN MEDICAL CENTER (NPI 1104008168) is a healthcare organization registered as a medicare defined swing bed unit in Mangum, Oklahoma and active in the NPI registry since December 2007. The organization lists Dayna Heine, Insurance Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1104008168
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameBLACKHAWK MANGUM LLC
Location AddressONE WICKERSHAM DRIVEMangum, OK 73554
Mailing AddressPo Box 280Mangum, OK 73554-0280
Phone(580) 782-3353
Organization SubpartNo
Authorized OfficialDayna HeineInsurance Credentialing Supervisor · (979) 830-8529
Enumeration DateDecember 3, 2007
Last NPPES UpdateNovember 19, 2009
✔ NPI 1104008168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
License✔ Licensed in OK · 2208
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
ONE WICKERSHAM DRIVE, Mangum, OK 73554
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Other Names 1

Doing Business AsQuartz Mountain Medical Center

Other Identifiers 1

Medicare OSCAR/certification37Z330OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

BLACKHAWK MANGUM LLC
Clinic/Center (Rural Health)
ONE WICKERSHAM DRIVE
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 Blackhawk Mangum LLC's NPI number?

The NPI number for Blackhawk Mangum LLC is 1104008168. It was assigned to this organization in the NPPES registry on December 3, 2007. The provider is doing business as Quartz Mountain Medical Center.

Where is Blackhawk Mangum LLC located?

Blackhawk Mangum LLC is located at One Wickersham Drive, Mangum, OK 73554. The listed phone number is (580) 782-3353.

What is Blackhawk Mangum LLC's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

What insurance does Blackhawk Mangum LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and UnitedHealthcare list Blackhawk Mangum LLC 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 Blackhawk Mangum LLC was last updated on November 19, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.