GRAND LAKE MEDICAL HEALTH CENTER
NPI 1295145217
Clinic/Center - Mental Health (Including Community Mental Health Center) in Grove, OK
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About GRAND LAKE MEDICAL HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Grand Lake Medical Health Center, a provider established in Grove, Oklahoma operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1295145217 assigned on April 2014. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Grand Lake Medical Health Center. The authorized official of this NPI record is Mr. Larry Smith (Ceo)
- NPI
- 1295145217 Verify this NPI
- Provider Legal Name
- GRAND LAKE MENTAL HEALTH CENTER INC
- Other Organization Name
- GRAND LAKE MEDICAL HEALTH CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1115 S HARBER RD GROVE, OK 74344
- Location Phone
- (918) 786-4434
- Mailing Address
- 114 W DELAWARE AVE NOWATA, OK 74048
- Mailing Phone
- (918) 273-1841
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-29-2014
- Last Update Date
- 07-31-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295145217, enumerated as an "organization" on April 29, 2014.
The provider is located at 1115 S HARBER RD GROVE, OK 74344 and the phone number is (918) 786-4434.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
