MANGUM CITY HOSPITAL AUTHORITY NPI 1568978708

NPI Information

NPI: 1568978708
Provider Name: MANGUM CITY HOSPITAL AUTHORITY

Doing Business As: MANGUM FAMILY CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
118 S LOUIS TITTLE AVE
MANGUM, OK
ZIP 73554
Phone: (580) 782-2000
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MANGUM CITY HOSPITAL AUTHORITY is a rural health clinic center in Mangum, OK. MANGUM CITY HOSPITAL AUTHORITY NPI is 1568978708. The provider is registered as an organization entity type.
The provider Is Doing Business As Mangum Family Clinic.

The provider's business location address is:

118 S LOUIS TITTLE AVE
MANGUM, OK
ZIP 73554-441
Phone: (580) 782-2000
Fax: (580) 782-5906

The provider's authorized official is Andrea Snider .
The authorized official title is Controller and has the following contact phone number (580) 782-3353.

The CLIA number assigned to this NPI record is 37D1079872 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/26/2017 and was last updated on 10/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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