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QUARTZ MOUNTAIN MEDICAL CENTER - HOLLIS
NPI 1366611824
Clinic/Center - Primary Care in Hollis, OK

Active since February 28, 2008
513 EAST CHESTNUT, HOLLIS, OK 73550(580) 688-3314(580) 688-9530 Get Directions Write a Review

NPPES record last updated: July 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Quartz Mountain Medical Center - Hollis NPPES

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

QUARTZ MOUNTAIN MEDICAL CENTER - HOLLIS (NPI 1366611824) is a healthcare organization registered as a primary care in Hollis, Oklahoma and active in the NPI registry since February 2008. The organization lists Shana Davenport, Insurance Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1366611824
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBLACKHAWK MANGUM, LLC
Location Address513 EAST CHESTNUTHollis, OK 73550
Mailing AddressPo Box 280Mangum, OK 73554-0280
Phone(580) 688-3314
Fax(580) 688-9530
Organization SubpartNo
Authorized OfficialShana DavenportInsurance Credentialing Supervisor · (512) 681-3460
Enumeration DateFebruary 28, 2008
Last NPPES UpdateJuly 23, 2008
✔ NPI 1366611824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in OK · 2208
513 EAST CHESTNUT, Hollis, OK 73550
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Other Names 1

Doing Business AsQuartz Mountain Medical Center - Hollis

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 1366611824. It was assigned to this organization in the NPPES registry on February 28, 2008. The provider is doing business as Quartz Mountain Medical Center - Hollis.

Where is Blackhawk Mangum, LLC located?

Blackhawk Mangum, LLC is located at 513 East Chestnut, Hollis, OK 73550. The listed phone number is (580) 688-3314.

What is Blackhawk Mangum, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Blackhawk Mangum, LLC was last updated on July 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.