| Organization Name: | QUARTZ MOUNTIAN MEDICAL CENTER |
| NPI Number: | 1528302957 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDSAY CRABB (ADMINISTRATOR) |
| Mailing Address: | 118 S Louis Tittle Ave Mangum |
| State: | OK US |
| Postal Code: | 735544441 |
| Phone Number: | 5807822113 |
| Fax Number: | 5807825944 |
| NPI Enumeration Date: | 11/26/2012 |
| NPI Last Update Date: | 11/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | R 0057113 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |