Organization
BLACKHAWK MANGUM, LLC
Active
Other names
Quartz Mountain Healthcare System - Robinson Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDSAY CRABB CEO (CEO)
(580) 782-3353
Entity
Organization
Contact information
Practice address
1601 WATTS ST, SAYRE, OK 73662-1314
(580) 928-9933
Mailing address
1 WICKERSHAM ST, MANGUM, OK 73554-9117
(580) 782-3353
(580) 782-5944
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2014
Last updated
09/08/2014
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