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GRAND LAKE MENTAL HEALTH CENTER INC. NPI 1386284222


NPI Information

NPI: 1386284222
Provider Name: GRAND LAKE MENTAL HEALTH CENTER, INC.

Doing Business As: GRAND MENTAL HEALTH

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 37D2083584

Address:
705 S VIRGINIA
BARTLESVILLE, OK
ZIP 74003
Phone: (918) 337-8080
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GRAND LAKE MENTAL HEALTH CENTER, INC. is a mental health (including community mental health center) clinic center in Bartlesville, OK. GRAND LAKE MENTAL HEALTH CENTER, INC. NPI is 1386284222. The provider is registered as an organization entity type.
The provider Is Doing Business As Grand Mental Health.

The provider's business location address is:

705 S VIRGINIA
BARTLESVILLE, OK
ZIP 74003-847
Phone: (918) 337-8080
Fax: (918) 337-8099

The provider's authorized official is Larry Smith .
The authorized official title is Ceo and has the following contact phone number (918) 273-1841.

The CLIA number assigned to this NPI record is 37D2083584 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2020 and was last updated on 4/12/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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