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QUART MOUNTAIN MEDICAL CENTER IMAGING SERVICES
NPI 1316326770
Clinic/Center in Mangum, OK

Active since May 19, 2015
1 WICKERSHAM ST, MANGUM, OK 73554(580) 782-3353 Get Directions Write a Review

NPPES record last updated: May 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Quart Mountain Medical Center Imaging Services NPPES

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

QUART MOUNTAIN MEDICAL CENTER IMAGING SERVICES (NPI 1316326770) is a healthcare organization registered as a clinic/center in Mangum, Oklahoma and active in the NPI registry since May 2015. The organization lists Natalie Young, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316326770
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBLACKHAWK MANGUM, LLC
Location Address1 WICKERSHAM STMangum, OK 73554-9117
Mailing Address1116 N Main St, #12Altus, OK 73521-3149 · (580) 477-2674
Phone(580) 782-3353
Organization SubpartNo
Authorized OfficialNatalie YoungCeo · (580) 782-3353
Enumeration DateMay 19, 2015
✔ NPI 1316326770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1 WICKERSHAM ST, Mangum, OK 73554
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Other Names 1

Doing Business AsQuart Mountain Medical Center Imaging Services

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
MANGUM CITY HOSPITAL AUTHORITY
General Acute Care Hospital (Critical Access)
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
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 Blackhawk Mangum, LLC's NPI number?

The NPI number for Blackhawk Mangum, LLC is 1316326770. It was assigned to this organization in the NPPES registry on May 19, 2015. The provider is doing business as Quart Mountain Medical Center Imaging Services.

Where is Blackhawk Mangum, LLC located?

Blackhawk Mangum, LLC is located at 1 Wickersham St, 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 with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Blackhawk Mangum, LLC was last updated on May 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.