1. Home
  2. Directory
  3. Oklahoma
  4. Miami
  5. Clinic Center
  6. NPI Profile

GRAND LAKE MEDICAL HEALTH CENTER
NPI 1588074595
Clinic/Center - Mental Health (Including Community Mental Health Center) in Miami, OK

Active since April 29, 2014
111 S TREATY RD, MIAMI, OK 74354(918) 540-1511 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grand Lake Medical Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND LAKE MEDICAL HEALTH CENTER (NPI 1588074595) is a healthcare organization registered as a mental health (including community mental health center) in Miami, Oklahoma and active in the NPI registry since April 2014. The organization lists Larry Smith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1588074595
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameGRAND LAKE MENTAL HEALTH CENTER INC
Location Address111 S TREATY RDMiami, OK 74354-5327
Mailing Address114 W Delaware AveNowata, OK 74048-2601 · (918) 273-1841 · Fax (918) 273-1843
Phone(918) 540-1511
Organization SubpartNo
Authorized OfficialLarry SmithCeo · (918) 273-1841
Enumeration DateApril 29, 2014
Last NPPES UpdateJuly 31, 2020
NPPES CertifiedJuly 31, 2020
✔ NPI 1588074595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
111 S TREATY RD, Miami, OK 74354
Open in Google Maps ↗

Other Names 1

Doing Business AsGrand Lake Medical Health Center

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NINA SHORT
Peer Specialist
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511
JOHN KLENKE LPC-C
Counselor (Mental Health)
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 592-8614
BRANDON ALLAN MAPLES
Peer Specialist
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511
KASEY NICOLE KING
Case Manager/Care Coordinator
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 260-9546
CAROLINE JONES
Case Manager/Care Coordinator
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511
TIMOTHY HUNTER
Case Manager/Care Coordinator
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511
KAREN LEE FEATHER
Case Manager/Care Coordinator
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511
TERRY DEE ANN WILSON
Case Manager/Care Coordinator
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grand Lake Mental Health Center Inc's NPI number?

The NPI number for Grand Lake Mental Health Center Inc is 1588074595. It was assigned to this organization in the NPPES registry on April 29, 2014. The provider is doing business as Grand Lake Medical Health Center.

Where is Grand Lake Mental Health Center Inc located?

Grand Lake Mental Health Center Inc is located at 111 S Treaty Rd, Miami, OK 74354. The listed phone number is (918) 540-1511.

What is Grand Lake Mental Health Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Grand Lake Mental Health Center Inc was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.