BLACKHAWK MANGUM, LLC – NPI #1093986937
Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
BLACKHAWK MANGUM, LLC is a provider located in MANGUM, OK. NPPES has assigned the NPI number 1093986937 to BLACKHAWK MANGUM, LLC on March 19, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.
The NPI profile was previously updated about 18 years ago on Jul 23, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLACKHAWK MANGUM, LLC below.
NPI Profile for
BLACKHAWK MANGUM, LLC
(more than 18 years ago)
MANGUM, OK 73554 Phone: (580) 782-3353 Fax: (580) 782-2811
MANGUM, OK 73554 Phone: Fax:
INSURANCE CREDENTIALING SUPERVISOR
Phone: (512) 681-3460
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207Q00000X - Family Medicine (Primary) |
OK | 2208 |
| 363LF0000X - Nurse Practitioner / Family |
OK | 2208 |
| 363A00000X - Physician Assistant |
OK | 2208 |
| 207P00000X - Emergency Medicine |
OK | 2208 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.