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GRAND LAKE HEALTH CARE, LLC
NPI 1619459708
Nurse Practitioner in Grove, OK

Active since September 05, 2018
601 S BROADWAY ST, GROVE, OK 74344(918) 801-6085 Get Directions Write a Review

NPPES record last updated: February 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 25, 2019, Sep 5, 2018 (2 updates tracked since 2018).

About Grand Lake Health Care, Llc NPPES

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

GRAND LAKE HEALTH CARE, LLC (NPI 1619459708) is a healthcare organization registered as a nurse practitioner in Grove, Oklahoma and active in the NPI registry since September 2018. The organization lists Joseph James Gelinas, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1619459708
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameGRAND LAKE HEALTH CARE, LLC
Location Address601 S BROADWAY STGrove, OK 74344-3429
Mailing Address62500 E 247 LoopGrove, OK 74344-7435 · (918) 787-5240
Phone(918) 801-6085
Organization SubpartNo
Authorized OfficialJoseph James GelinasOwner/provider · (918) 787-3491
Enumeration DateSeptember 5, 2018
Last NPPES UpdateFebruary 25, 20192 updates tracked since enumeration
✔ NPI 1619459708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OK · 80573
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
601 S BROADWAY ST, Grove, OK 74344
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Other Identifiers 1

Medicaid20313460AOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

JULIE D LONDAGIN CCC-SLP
Speech-Language Pathologist
601 S BROADWAY ST
GROVE, OK 74344
Delaware County (918) 964-7025
JOSEPH JAMES GELINAS APRN-CNP
Nurse Practitioner
601 S BROADWAY ST
GROVE, OK 74344
Delaware County (918) 786-0800
HOPPER MEDICAL CLINIC
Internal Medicine
601 S BROADWAY ST
GROVE, OK 74344
Delaware County (918) 786-9088
DR. MARY E. BRANDT PH.D LCSW
Social Worker (Clinical)
601 S BROADWAY ST
GROVE, OK 74344
Delaware County (918) 786-9088
HANNAH BROWN SLPA
Specialist/Technologist (Speech-Language Assistant)
601 S BROADWAY ST
GROVE, OK 74344
Delaware County (918) 964-7025

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 Health Care, LLC's NPI number?

The NPI number for Grand Lake Health Care, LLC is 1619459708. It was assigned to this organization in the NPPES registry on September 5, 2018.

Where is Grand Lake Health Care, LLC located?

Grand Lake Health Care, LLC is located at 601 S Broadway St, Grove, OK 74344. The listed phone number is (918) 801-6085.

What is Grand Lake Health Care, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Grand Lake Health Care, LLC was last updated on February 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.