BLACKHAWK MANGUM LLC

ALTUS, OK
NPI1679966709
Doing Business AsQUARTZ MOUNTAIN MEDICAL CENTER ALTUS CLINIC
Entity TypeOrganization
Authorized ContactKEVIN J OWENS
Owner
580-782-3353
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2015-03-13
Last Update Date2015-11-17
Business Address
BLACKHAWK MANGUM LLC
3000 N MAIN ST
ALTUS, OK 73521-1348
Phone number: 580-782-3353
Mailing Address
BLACKHAWK MANGUM LLC
1 WICKERSHAM ST
MANGUM, OK 73554-9117
Phone number: 580-782-3353