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MANGUM FAMILY CLINIC
NPI 1568978708
Clinic/Center - Rural Health in Mangum, OK

Active since December 26, 2017CLIA 37D1079872 · Waiver
118 S LOUIS TITTLE AVE, MANGUM, OK 73554(580) 782-2000(580) 782-5906 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2020, Dec 26, 2017 (2 updates tracked since 2017).

About Mangum Family Clinic NPPES

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

MANGUM FAMILY CLINIC (NPI 1568978708) is a healthcare organization registered as a rural health in Mangum, Oklahoma and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through February 7, 2028 and lists Andrea Snider, Controller, as its authorized official.

NPPES Registry Identity

NPI1568978708
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMANGUM CITY HOSPITAL AUTHORITY
Location Address118 S LOUIS TITTLE AVEMangum, OK 73554-4441
Mailing AddressPo Box 280Mangum, OK 73554-0280 · (580) 782-2000 · Fax (580) 782-5103
Phone(580) 782-2000
Fax(580) 782-5906
Organization SubpartNo
Authorized OfficialAndrea SniderController · (580) 782-3353
Enumeration DateDecember 26, 2017
Last NPPES UpdateOctober 6, 20202 updates tracked since enumeration
NPPES CertifiedOctober 6, 2020
✔ NPI 1568978708 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
Open in Google Maps ↗

Other Names 1

Doing Business AsMangum Family Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D1079872

Mangum Family Clinic · Mangum, OK
Active · expires Feb 7, 2028
CLIA Number37D1079872
Laboratory TypeRural Health Clinic
Certificate Effective DateFebruary 8, 2026
Certificate Expiration DateFebruary 7, 2028
Laboratory DirectorSanda Kimbo
Laboratory Phone(580) 782-2000
Laboratory LocationMangum Family Clinic118 S Louis Tittle, Mangum, OK 73554
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

BLACKHAWK MANGUM LLC
Clinic/Center (Rural Health)
118 S LOUIS TITTLE AVE
MANGUM, OK 73554
Greer County (580) 782-3353
QUARTZ MOUNTIAN MEDICAL CENTER
Clinic/Center
118 S LOUIS TITTLE AVE
MANGUM, OK 73554
Greer County (580) 782-2113

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 Mangum City Hospital Authority's NPI number?

The NPI number for Mangum City Hospital Authority is 1568978708. It was assigned to this organization in the NPPES registry on December 26, 2017. The provider is doing business as Mangum Family Clinic.

Where is Mangum City Hospital Authority located?

Mangum City Hospital Authority is located at 118 S Louis Tittle Ave, Mangum, OK 73554. The listed phone number is (580) 782-2000.

What is Mangum City Hospital Authority's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Mangum City Hospital Authority hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D1079872) is associated with this NPI, valid through February 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mangum City Hospital Authority accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Mangum City Hospital Authority 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 Mangum City Hospital Authority was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.