Active NPI
Mangum City Hospital Authority
Doing business as Mangum Regional Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Mangum, OK
National Provider Identifier
1003596594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- Legal business name
- MANGUM CITY HOSPITAL AUTHORITY
- Doing business as
- Mangum Regional Medical Center
Mangum Regional Medical Center (Swing Bed Unit) - Practice address
- 1 Wickersham St
Mangum, OK 73554-9117 - Phone
- (580) 782-3353
- Fax
- (580) 782-5944
- NPI assigned
- Jul 20, 2023
- Last updated
- Jul 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Snider
- Title
- Controller/Authorized Official
- Phone
- (580) 467-6115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | Primary |
Addresses
Primary practice location
1 Wickersham St
Mangum, OK 73554-9117
Mailing address
PO Box 280
Mangum, OK 73554-0280
Other names 2
- MANGUM REGIONAL MEDICAL CENTER
- Mangum Regional Medical Center (Swing Bed Unit)
National Provider Directory
National Provider Directory- Tax ID family
- Mangum City Hosp Auth
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medicare Defined Swing Bed Hospital Unit
- Mangum, OK
- NPI 1275402398
-
dba Mangum Family Clinic
- Rural Health Clinic/Center
- Mangum, OK
- NPI 1568978708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689811200000",
"number": "1003596594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 280",
"city": "MANGUM",
"state": "OK",
"postal_code": "735540280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WICKERSHAM ST",
"city": "MANGUM",
"state": "OK",
"postal_code": "735549117",
"telephone_number": "580-782-3353",
"fax_number": "580-782-5944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANGUM CITY HOSPITAL AUTHORITY",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-20",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A",
"authorized_official_last_name": "SNIDER",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "CONTROLLER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "580-467-6115"
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MANGUM REGIONAL MEDICAL CENTER",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mangum Regional Medical Center (Swing Bed Unit)",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mangum, OK
- Angela Little, MS/CCC-SLP
- Dustin Curt Lively, DDS
- Benjamin Moses Locklear, D.C.
- Della Logsdon, PRSS
- James Andrew Macrobert, DDS
- Mangum City Hospital Authority (Mangum Regional Medical Center)
- Mangum City Hospital Authority
- Mangum City Hospital Authority (Mangum Family Clinic)
- Mangum Drug Co. LLC (Mangum Drug Co.)
- Mangum Nursing Center, LLC (Grace Living Center - Mangum)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.