GRAND LAKE MENTAL HEALTH CENTER INC. NPI 1467460931

NPI Information

NPI: 1467460931
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)

Address:
114 W DELAWARE AVE
NOWATA, OK
ZIP 74048
Phone: (918) 273-1841
Get Directions

GRAND LAKE MENTAL HEALTH CENTER, INC. is a mental health (including community mental health center) clinic center in Nowata, OK. GRAND LAKE MENTAL HEALTH CENTER, INC. NPI is 1467460931. 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:

114 W DELAWARE AVE
NOWATA, OK
ZIP 74048-601
Phone: (918) 273-1841
Fax: (918) 273-1289

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 enumeration date for this NPI number is 8/3/2006 and was last updated on 4/21/2023.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100732860N	MEDICAID	OKLAHOMA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »