MCH GRANITE FAMILY CLINIC
NPI 1922147305
General Acute Care Hospital - Critical Access in Granite, OK

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

The NPI number for Blackhawk Mangum, LLC is 1922147305. It was assigned to this organization in the NPPES registry on February 5, 2007. The provider is also known as Mch Granite Family Clinic.

Q: What is Blackhawk Mangum, LLC's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Active since February 05, 2007

417 NORTH MAIN ST, GRANITE, OK 73547(580) 535-4615(580) 535-4466 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mch Granite Family Clinic NPPES

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

MCH GRANITE FAMILY CLINIC (NPI 1922147305) is a healthcare organization registered as a critical access in Granite, Oklahoma and active in the NPI registry since February 2007. The organization lists Brian Roland, Cfo, as its authorized official.

NPPES Registry Identity

NPI1922147305

Entity TypeOrganization

Primary Taxonomy282NC0060X

Legal Business NameBLACKHAWK MANGUM, LLC

Location Address417 NORTH MAIN STGranite, OK 73547

Mailing AddressOne Wickersham DriveMangum, OK 73554 · (580) 782-3353 · Fax (580) 782-5944

Phone(580) 535-4615

Fax(580) 535-4466

Organization SubpartNo

Authorized OfficialBrian RolandCfo · (580) 782-3353

Enumeration DateFebruary 5, 2007

Last NPPES UpdateApril 20, 2008

✔ NPI 1922147305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals

Taxonomy Code282NC0060X

License✔ Licensed in OK · 2208

417 NORTH MAIN ST, Granite, OK 73547

Open in Google Maps ↗

Other Names 1

Other NameMch Granite Family Clinic

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 1922147305. It was assigned to this organization in the NPPES registry on February 5, 2007. The provider is also known as Mch Granite Family Clinic.

Where is Blackhawk Mangum, LLC located?

Blackhawk Mangum, LLC is located at 417 North Main St, Granite, OK 73547. The listed phone number is (580) 535-4615.

What is Blackhawk Mangum, LLC's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

When was this NPI record last updated?

The NPPES record for Blackhawk Mangum, LLC was last updated on April 20, 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.