Organization 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
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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)CodeLicenseStatePrimary
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 Doing business as
  • Mangum Regional Medical Center (Swing Bed Unit) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mangum City Hosp Auth3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.