| Mangum Family Clinic | |
|
118 S Louis Tittle Ave Mangum OK 73554-4441 | |
| (580) 782-2000 | |
| (580) 782-5906 |
| Full Name | Mangum Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 118 S Louis Tittle Ave, Mangum, Oklahoma |
| Authorized Official Name and Position | Andrea Snider (CONTROLLER) |
| Authorized Official Contact | 5807823353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mangum Family Clinic Po Box 280 Mangum OK 73554-0280 Ph: (580) 782-2000 | Mangum Family Clinic 118 S Louis Tittle Ave Mangum OK 73554-4441 Ph: (580) 782-2000 |
| NPI Number | 1568978708 |
|---|---|
| Provider Enumeration Date | 12/26/2017 |
| Last Update Date | 10/06/2020 |
| Medicare PECOS PAC ID | 6305119942 |
|---|---|
| Medicare Enrollment ID | O20191120000442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568978708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Quartz Mountain Medical Clinic - Mangum Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 South Louis Tittle, Mangum, OK 73554 Phone: 580-782-2113 Fax: 580-782-2141 | |
Jcmh Familycare Medical Clinic Of Mangum Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 114 S Louis Tittle Ave, Mangum, OK 73554 Phone: 580-782-3393 Fax: 580-782-3395 | |
Quartz Mountain Medical Clinic Mangum North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: One Wickersham Drive, Mangum, OK 73554 Phone: 580-782-3353 | |
Quartz Mountain Medical Clinic Mangum Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 S Louis Tittle Ave, Mangum, OK 73554 Phone: 580-782-3353 | |
Quart Mountain Medical Center Imaging Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Wickersham St, Mangum, OK 73554 Phone: 580-782-3353 | |
Quartz Mountian Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 S Louis Tittle Ave, Mangum, OK 73554 Phone: 580-782-2113 Fax: 580-782-5944 |