Organization Name: | BLACKHAWK MANGUM, LLC |
NPI Number: | 1093986937 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHANA DAVENPORT (INSURANCE CREDENTIALING SUPERVISOR) |
Mailing Address: | One Wickersham Dr Mangum |
State: | OK US |
Postal Code: | 73554 |
Phone Number: | 5807823353 |
Fax Number: | 5807822811 |
NPI Enumeration Date: | 03/19/2008 |
NPI Last Update Date: | 07/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207P00000X |
License Number: | 2208 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: | An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |