NPIMap

Organization Active NPI

Blackhawk Mangum LLC

Doing business as Robinson Family Clinic

  • Rural Health Clinic/Center
  • Sayre, OK
National Provider Identifier
1710378294
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BLACKHAWK MANGUM LLC
Doing business as
Robinson Family Clinic
Practice address
1601 Watts St
Sayre, OK 73662-1314
Phone
(580) 928-9933
NPI assigned
Feb 5, 2015
Last updated
Feb 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kevin Owens
Title
Owner
Phone
(512) 659-4467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

1601 Watts St
Sayre, OK 73662-1314

Mailing address

1601 Watts St
Sayre, OK 73662-1314
Phone (580) 928-9933

Other names 1

  • Robinson Family Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blackhawk Mangum LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1710378294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 WATTS ST",
            "city": "SAYRE",
            "state": "OK",
            "postal_code": "736621314",
            "telephone_number": "580-928-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WATTS ST",
            "city": "SAYRE",
            "state": "OK",
            "postal_code": "736621314",
            "telephone_number": "580-928-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKHAWK MANGUM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-659-4467"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robinson Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sayre, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.