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GRAND LAKE MENTAL HEALTH CENTER INC. NPI 1316955198


NPI Information

NPI: 1316955198
Provider Name: GRAND LAKE MENTAL HEALTH CENTER, INC.

Doing Business As: GRAND LAKE MEDICAL HEALTH CENTER

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
17599 S HIGHWAY 88
CLAREMORE, OK
ZIP 74017
Phone: (918) 273-1841
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GRAND LAKE MENTAL HEALTH CENTER, INC. is a medical specialty clinic center in Claremore, OK. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). GRAND LAKE MENTAL HEALTH CENTER, INC. NPI is 1316955198. The provider is registered as an organization entity type.
The provider Is Doing Business As Grand Lake Medical Health Center.

The provider's business location address is:

17599 S HIGHWAY 88
CLAREMORE, OK
ZIP 74017-801
Phone: (918) 273-1841
Fax: (918) 273-1843

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 8/4/2006 and was last updated on 7/31/2020.


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
1261QM2500XClinic/CenterMedical SpecialtyYes

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
1100732860CMEDICAIDOKLAHOMA

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

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.