# BLACKWELL HMPN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEALTH MANAGEMENT ASSOCIATES
- **Other names:** Tonkawa Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457793093
- **Legal business name:** HEALTH MANAGEMENT ASSOCIATES
- **Authorized official:** STACI LUCIUS (PRESIDENT)
- **Authorized official phone:** (239) 552-3575

## Contact information

- **Practice address:** 600 E GRAND AVE, SUITE 1, TONKAWA, OK 74653-3558
- **Practice address phone:** (580) 628-2138
- **Practice address fax:** (580) 628-2293
- **Mailing address:** 5811 PELICAN BAY BLVD STE 500, NAPLES, FL 34108-2711
- **Mailing address phone:** (239) 552-3131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2013
- **Last updated:** 10/30/2013