Grand Mental Health

LBN: Grand Lake Mental Health Center, Inc.
Grand Mental Health is an health care organization with primary practice located at 114 W Delaware Ave , Nowata OK 74048-2601. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Grand Lake Mental Health Center, Inc. can be contacted via phone (918) 273-1841, or through Smith, Larry via phone (918) 273-1841.

Contact Information

Primary practice address
114 W Delaware Ave Nowata OK 74048-2601
Phone: (918) 273-1841
Fax: (918) 273-1843
Website:
Map and Directions
Authorized official contact:
Name: Smith, Larry
Phone: (918) 273-1841

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1467460931
LBN Legal business name Grand Lake Mental Health Center, Inc.
DBA Doing business as Grand Mental Health
Authorized official Smith, Larry
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2006
Last updated Jun 25th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467460931 NPPES
Oklahoma MEDICAID 100732860N

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