QUARTZ MOUNTAIN MEDICAL CLINIC MANGUM NORTH
NPI 1225362015
Clinic/Center - Rural Health in Mangum, OK

Active since September 25, 2009
ONE WICKERSHAM DRIVE, MANGUM, OK 73554(580) 782-3353 Get Directions Write a Review

NPPES record last updated: September 25, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Quartz Mountain Medical Clinic Mangum North NPPES

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

QUARTZ MOUNTAIN MEDICAL CLINIC MANGUM NORTH (NPI 1225362015) is a healthcare organization registered as a rural health in Mangum, Oklahoma and active in the NPI registry since September 2009. The organization lists Jan Winter, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225362015
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBLACKHAWK MANGUM LLC
Location AddressONE WICKERSHAM DRIVEMangum, OK 73554-9117
Mailing AddressPo Box 280Mangum, OK 73554-0280 · (580) 782-3353
Organization SubpartNo
Authorized OfficialJan WinterCeo · (580) 782-3353
Enumeration DateSeptember 25, 2009
NPI 1225362015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
ONE WICKERSHAM DRIVE, Mangum, OK 73554

Other Names 1

Doing Business AsQuartz Mountain Medical Clinic Mangum North

Other Providers at the Same Location NPPES

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

Medicare Defined Swing Bed Unit
ONE WICKERSHAM DRIVE
MANGUM, OK 73554

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 1225362015. It was assigned to this organization in the NPPES registry on September 25, 2009. The provider is doing business as Quartz Mountain Medical Clinic Mangum North.

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 Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Blackhawk Mangum LLC was last updated on September 25, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.