Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Blackhawk Mangum, LLC

Primary Care Clinic/Center in Mangum, OK · enumerated 2008 · authorized official Shana Davenport, Insurance Credentialing Supervisor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033388509

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Blackhawk Mangum, LLC

Other name <Unavail>

Practice address 118 South Louis Tittle, Mangum, OK, 73554

Phone (580) 782-2113

Fax (580) 782-2141

Enumeration date Feb 28, 2008

Last updated in NPPES Mar 4, 2009

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License 2208 (OK) Primary

Authorized official

Name Shana Davenport

Title Insurance Credentialing Supervisor

Phone (512) 681-3460

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-03-04. Verify at npiregistry.cms.hhs.gov.

Where is Blackhawk Mangum, LLC located?

The practice location on file with NPPES is in Mangum, OK.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-03-04.