BLACKHAWK MANGUM, LLC

GRANITE, OK
NPI1922147305
Other NameMCH GRANITE FAMILY CLINIC
Entity TypeOrganization
Authorized ContactBRIAN ROLAND
CFO
580-782-3353
Organization Subpart ?No
Primary Taxonomy282NC0060X General Acute Care Hospital, Critical Access
(Licence: OK  2208)
Enumeration Date2007-02-05
Last Update Date2008-04-20
Business Address
BLACKHAWK MANGUM, LLC
417 NORTH MAIN ST
GRANITE, OK 73547
Phone number: 580-535-4615
Mailing Address
BLACKHAWK MANGUM, LLC
ONE WICKERSHAM DRIVE
MANGUM, OK 73554
Phone number: 580-782-3353