Blackhawk Mangum LLC
Blackhawk Mangum LLC is a healthcare organization registered as Rural Health Clinic/Center in Mangum, OK, holding Type 2 (organization) NPI 1295069151 since 2009. The authorized official on file is Jan Winter, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1295069151 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Blackhawk Mangum LLC |
| Other name | <Unavail> |
| Practice address | 118 S LOUIS TITTLE AVE, Mangum, OK, 73554 |
| Phone | 5807823353 |
| Enumeration date | 2009-09-25 |
| Last updated in NPPES | 2009-09-25 |
Authorized official
| Name | Jan Winter |
|---|---|
| Title | Ceo |
| Phone | 5807823353 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QR1300X | Rural Health Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Blackhawk Mangum LLC NPI: 1295069151 Taxonomy: 261QR1300X (Rural Health Clinic/Center) Address: 118 S LOUIS TITTLE AVE, Mangum, OK, 73554
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1528302957 | Quartz Mountian Medical Center | Organization | Clinic/Center | Mangum, OK |
| 1568978708 | Mangum City Hospital Authority | Organization | Rural Health Clinic/Center | Mangum, OK |
Verify this record
Cross-check NPI 1295069151 against the authoritative CMS record: view Blackhawk Mangum LLC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What type of organization is Blackhawk Mangum LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-09-25.