QUARTZ MOUNTAIN MEDICAL CENTER ALTUS CLINIC
NPI 1679966709
Clinic/Center in Altus, OK

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

The NPI number for Blackhawk Mangum LLC is 1679966709. It was assigned to this organization in the NPPES registry on March 13, 2015. The provider is doing business as Quartz Mountain Medical Center Altus Clinic.

Q: What is Blackhawk Mangum LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since March 13, 2015

3000 N MAIN ST, ALTUS, OK 73521(580) 782-3353 Get Directions Write a Review

NPPES record last updated: November 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Quartz Mountain Medical Center Altus Clinic NPPES

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

QUARTZ MOUNTAIN MEDICAL CENTER ALTUS CLINIC (NPI 1679966709) is a healthcare organization registered as a clinic/center in Altus, Oklahoma and active in the NPI registry since March 2015. The organization lists Kevin J Owens, Owner, as its authorized official.

NPPES Registry Identity

NPI1679966709

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameBLACKHAWK MANGUM LLC

Location Address3000 N MAIN STAltus, OK 73521-1348

Mailing Address1 Wickersham StMangum, OK 73554-9117 · (580) 782-3353 · Fax (580) 782-5944

Phone(580) 782-3353

Organization SubpartNo

Authorized OfficialKevin J OwensOwner · (580) 782-3353

Enumeration DateMarch 13, 2015

Last NPPES UpdateNovember 17, 2015

✔ NPI 1679966709 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).

3000 N MAIN ST, Altus, OK 73521

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Other Names 1

Doing Business AsQuartz Mountain Medical Center Altus Clinic

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.

MS. SUZIE DEANN BRADDOCK LPC

Counselor (Professional)

3000 N MAIN ST, SUITE C
ALTUS, OK 73521

Jackson County (580) 471-9948

COMANCHE COUNTY HEALTHCARE

Family Medicine

3000 N MAIN ST, SUITE A
ALTUS, OK 73521

Jackson County (580) 477-4522

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 1679966709. It was assigned to this organization in the NPPES registry on March 13, 2015. The provider is doing business as Quartz Mountain Medical Center Altus Clinic.

Where is Blackhawk Mangum LLC located?

Blackhawk Mangum LLC is located at 3000 N Main St, Altus, OK 73521. 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 November 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.