| NPI | 1083821011 |
|---|---|
| Doing Business As | BLACK HAWK HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | LEDORA MCDOUGLE Health Director 918-968-9531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK R0069265) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |