Organization
MANGUM CITY HOSPITAL AUTHORITY
Active
Parent organization
MANGUM CITY HOSPITAL AUTHORITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MANGUM CITY HOSPITAL AUTHORITY
Authorized official
KELLEY MARTINEZ (CEO)
(580) 782-3353
Entity
Organization
Contact information
Practice address
1 WICKERSHAM DRIVE, MANGUM, OK 73554
(580) 782-3353
(580) 782-5944
Mailing address
PO BOX 280, MANGUM, OK 73554-0280
(580) 782-3353
(580) 782-5944
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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