Organization
BLACKWELL HMPN, LLC
Active
Parent organization
HEALTH MANAGEMENT ASSOCIATES, INC.
Other names
Blackwell Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH MANAGEMENT ASSOCIATES, INC.
Authorized official
MR. MICHAEL L GINGRAS (VICE PRESIDENT)
(239) 598-3131
Entity
Organization
Contact information
Practice address
1005 W DOOLIN AVE, BLACKWELL, OK 74631-1350
(580) 363-3288
(580) 363-2781
Mailing address
5811 PELICAN BAY BLVD, SUITE 500, NAPLES, FL 34108-2733
(239) 598-3131
(239) 592-0438
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
07/31/2012
Last updated
11/27/2012
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