QUARTZ MOUNTAIN MEDICAL CLINIC MANGUM
NPI 1295069151
Clinic/Center - Rural Health in Mangum, OK

Q: What is Blackhawk Mangum LLC's NPI number?

The NPI number for Blackhawk Mangum LLC is 1295069151. 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.

Q: 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.

Active since September 25, 2009

118 S LOUIS TITTLE AVE, 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: August 09, 2026.

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About Quartz Mountain Medical Clinic Mangum NPPES

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

QUARTZ MOUNTAIN MEDICAL CLINIC MANGUM (NPI 1295069151) 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

NPI1295069151

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameBLACKHAWK MANGUM LLC

Location Address118 S LOUIS TITTLE AVEMangum, OK 73554-4441

Mailing AddressPo Box 280Mangum, OK 73554-0280 · (580) 782-3353

Phone(580) 782-3353

Organization SubpartNo

Authorized OfficialJan WinterCeo · (580) 782-3353

Enumeration DateSeptember 25, 2009

✔ NPI 1295069151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

118 S LOUIS TITTLE AVE, Mangum, OK 73554

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Other Names 1

Doing Business AsQuartz Mountain Medical Clinic Mangum

Other Providers at the Same Location NPPES 2

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

QUARTZ MOUNTIAN MEDICAL CENTER

Clinic/Center

118 S LOUIS TITTLE AVE
MANGUM, OK 73554

Greer County (580) 782-2113

MANGUM CITY HOSPITAL AUTHORITY

Clinic/Center (Rural Health)

118 S LOUIS TITTLE AVE
MANGUM, OK 73554

Greer County (580) 782-2000

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 1295069151. 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.

Where is Blackhawk Mangum LLC located?

Blackhawk Mangum LLC is located at 118 S Louis Tittle Ave, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.