| Grand Lake Mental Health Center, Inc. | |
|
401 W Main St Barnsdall OK 74002-6631 | |
| (918) 847-3527 | |
| (918) 777-9018 |
| Full Name | Grand Lake Mental Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 401 W Main St, Barnsdall, Oklahoma |
| Authorized Official Name and Position | Charles Danley (CEO) |
| Authorized Official Contact | 9182731841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Lake Mental Health Center, Inc. 114 W Delaware Ave Nowata OK 74048-2601 Ph: (918) 273-1841 | Grand Lake Mental Health Center, Inc. 401 W Main St Barnsdall OK 74002-6631 Ph: (918) 847-3527 |
| NPI Number | 1912547852 |
|---|---|
| Provider Enumeration Date | 01/08/2020 |
| Last Update Date | 01/08/2020 |
| Certification Date | 01/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912547852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Grand Lake Medical Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 W Main St, Barnsdall, OK 74002 Phone: 918-337-8080 Fax: 918-337-8099 | |
Bigheart, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 254 County Road 2351, Barnsdall, OK 74002 Phone: 918-914-1327 |