Blackhawk Mangum, Llc
Family Medicine
About Blackhawk Mangum, Llc
Blackhawk Mangum, Llc is a healthcare organization providing Family Medicine services, registered under National Provider Identifier (NPI) number 1093986937. The authorized official for Blackhawk Mangum, Llc is SHANA DAVENPORT.
The organization is headquartered at ONE WICKERSHAM DR, Mangum, Oklahoma 73554. The main office can be reached at (580) 782-3353. Blackhawk Mangum, Llc has been NPI-registered since 2008.
Locations & Contact
Primary Location
- Address
- ONE WICKERSHAM DR
- City
- Mangum
- State
- Oklahoma
- ZIP
- 73554
- Phone
- (580) 782-3353
- Fax
- (580) 782-2811
Authorized Official
- Name
- SHANA DAVENPORT
Mailing Address
- Address
- PO BOX 280
- City
- MANGUM
- State
- OK
- ZIP
- 73554
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Services & Taxonomy
Specialty & Classification
- Primary Specialty
- Family Medicine
- Classification
- Family Medicine
- Taxonomy Code
- 207Q00000X
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Blackhawk Mangum, Llc's NPI number?
What does Blackhawk Mangum, Llc specialize in?
Where is Blackhawk Mangum, Llc located?
Does Blackhawk Mangum, Llc accept Medicare?
Does Blackhawk Mangum, Llc offer telehealth or virtual visits?
What is a Type 2 NPI (Organization)?
A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Blackhawk Mangum, Llc holds NPI 1093986937, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.