Organization
BLACKHAWK MANGUM LLC
Active
Other names
Quartz Mountain Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAYNA HEINE (CREDENTIAL)
(979) 830-8529
Entity
Organization
Contact information
Practice address
ONE WICKERSHAM DR, MANGUM, OK 73554-9117
(580) 782-3353
(580) 782-5944
Mailing address
ONE WICKERSHAM DR, MANGUM, OK 73554-9117
(580) 782-3353
(580) 782-5944
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
2208
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699750A
—
OK
05
—
100699750B
—
OK
Enumeration date
07/06/2006
Last updated
11/19/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us