Organization
BLACKHAWK MANGUM, LLC
Active
Other names
Quart Mountain Medical Center Imaging Services
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE YOUNG (CEO)
(580) 782-3353
Entity
Organization
Contact information
Practice address
1 WICKERSHAM ST, MANGUM, OK 73554-9117
(580) 782-3353
Mailing address
1116 N MAIN ST, #12, ALTUS, OK 73521-3149
(580) 477-2674
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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