BLACKHAWK MANGUM LLC

MANGUM, OK
NPI1295069151
Doing Business AsQUARTZ MOUNTAIN MEDICAL CLINIC MANGUM
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
118 S LOUIS TITTLE AVE
MANGUM, OK 73554-4441
Phone number: 580-782-3353
Mailing Address
BLACKHAWK MANGUM LLC
PO BOX 280
MANGUM, OK 73554-0280
Phone number: 580-782-3353