Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Blackhawk Mangum, LLC

Critical Access Hospital in Granite, OK · enumerated 2007 · authorized official Brian Roland, Cfo.

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

National Provider Identifier

1922147305

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Blackhawk Mangum, LLC

Other name <Unavail>

Practice address 417 North Main St, Granite, OK, 73547

Phone (580) 535-4615

Fax (580) 535-4466

Enumeration date Feb 5, 2007

Last updated in NPPES Apr 20, 2008

Taxonomy & classification

282NC0060X Critical Access Hospital Hospitals · License 2208 (OK) Primary

Authorized official

Name Brian Roland

Title Cfo

Phone (580) 782-3353

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 2008-04-20. Verify at npiregistry.cms.hhs.gov.

Where is Blackhawk Mangum, LLC located?

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

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-20.