Blackhawk Mangum LLC
NPI 1104008168ActiveOrganization· Medicare Defined Swing Bed Unit· Mangum, OK
Medicare Defined Swing Bed Unit in Mangum, Oklahoma, registered in NPPES in December 2007. The authorized official on file is Dayna Heine, Insurance Credentialing Supervisor.
Overview
| NPI | 1104008168 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 3, 2007 |
| Last updated in NPPES | Nov 19, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Medicare Defined Swing Bed Unit Primary | 275N00000X | 2208 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Medicare Defined Swing Bed Unit providers in Mangum
- 1003596594
- 1275402398