BLACKHAWK MANGUM LLC

MANGUM, OK
NPI1225362015
Doing Business AsQUARTZ MOUNTAIN MEDICAL CLINIC MANGUM NORTH
Entity TypeOrganization
Authorized ContactJAN WINTER
CEO
580-782-3353
Organization Subpart ?No
Primary Taxonomy261QR1300X Clinic/Center, Rural Health
Enumeration Date2009-09-25
Last Update Date2009-09-25
Business Address
BLACKHAWK MANGUM LLC
ONE WICKERSHAM DRIVE
MANGUM, OK 73554-9117
Phone number: 580-782-3353
Mailing Address
BLACKHAWK MANGUM LLC
PO BOX 280
MANGUM, OK 73554-0280
Phone number: 580-782-3353